Question

A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the combined oral contraceptive pill as a contraceptive choice. What would the nurse's most appropriate response be?

A. "This is a highly effective method but it has some side effects."
B. "Your current medications will reduce the effectiveness of the oral contraceptive pill."
C. "The oral contraceptive pill will reduce the effectiveness of your seizure medication."
D. "This is a good choice for a woman of your age and personal history."

Answer 1

The nurse should inform the woman that her current medications will reduce the effectiveness of the oral contraceptive pill.

Step-by-step explanation:

The nurse's most appropriate response would be B. 'Your current medications will reduce the effectiveness of the oral contraceptive pill.'

Barbiturates can lead to increased metabolism of hormones in the liver, which can decrease the effectiveness of the oral contraceptive pill. Phenytoin sodium, another antiepileptic medication, also has the potential to interact with oral contraceptives, reducing their effectiveness.

Therefore, it is important for the woman to explore alternative contraceptive options and consult with her healthcare provider to find the most suitable method.