A client who has been taking oral contraceptives consistently reports experiencing breakthrough bleeding. What action should the nurse recommend?

Correct Answer: C

Rationale: Breakthrough bleeding can occur when the hormonal levels in oral contraceptives are not adequate for the individual. The nurse should recommend that the client consult the health care provider for possible adjustment of the contraceptive dosage rather than switching methods or discontinuing use without guidance.

Correct Answer: C

Rationale: Smoking does not help keep bones strong; it actually increases the risk of osteoporosis. Therefore, this misconception requires additional teaching. Adequate calcium and vitamin D intake, avoiding excessive alcohol, and engaging in weight-bearing exercises are all correct measures to reduce the risk of osteoporosis.

Correct Answer: D

Rationale: Measures to reduce osteoporosis after menopause include daily weight-bearing exercise, increasing calcium and vitamin D intake, and avoiding smoking and excessive alcohol intake. General vitamin supplements may be helpful overall, but they are not specific to reducing the risk of osteoporosis. A diet high in calcium and vitamin D, not fiber and calories, would be appropriate. Restricting fluids would have no effect on preventing osteoporosis.

Correct Answer: C

Rationale: Injectable progestins require only four injections per year, making them suitable for clients who struggle with daily compliance. While other factors like thrombotic risks or irregular healthcare access are important considerations, the primary advantage here is convenience for those who forget daily doses.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.