A patient is seen in the primary care clinic for a sinus infection and is prescribed antibiotics. The only other medication that this patient currently takes is an oral contraceptive. What is the most important education the nurse must give to the patient regarding her medications?

Correct Answer: B

Rationale: Step 1: Antibiotics can reduce the effectiveness of oral contraceptives by altering gut flora. Step 2: Failure to use a backup method can lead to unintended pregnancy. Step 3: Therefore, it is crucial for the nurse to educate the patient on using a backup method to prevent pregnancy. Summary: Choice A is incorrect as nausea is not the main concern. Choice C is incorrect as not all antibiotics interact with oral contraceptives. Choice D is incorrect as there is a potential interaction between antibiotics and oral contraceptives.

Correct Answer: A

Rationale: The correct answer is A because the internal condom is made of nitrile, which is a non-latex material. This makes it suitable for individuals with latex allergies. Choice B is incorrect because both internal and external condoms can be used for repeated acts of intercourse. Choice C is incorrect because internal condoms do not necessarily have a lower failure rate than external condoms. Choice D is incorrect because while condoms can enhance pleasure during intercourse, the primary purpose of the internal condom is for protection rather than pleasure.

Correct Answer: B

Rationale: The correct answer is B: "You will need to return to the office to check for sperm in your ejaculate." This information is crucial as it ensures the success of the sterilization procedure. By checking for sperm in the ejaculate, the effectiveness of the vasectomy can be confirmed. This step is important to ensure that the individual is indeed sterile and can rely on the procedure for contraception. Choice A is incorrect because vasectomy reversal is not always successful and should not be assumed. Choice C is incorrect as sterility is not immediate and may take several months after the procedure. Choice D is incorrect as consent forms for vasectomy typically require only the individual undergoing the procedure to give consent. In summary, choice B is correct because it emphasizes the need for follow-up to confirm sterility, while the other choices provide incorrect or irrelevant information regarding male sterilization.

Correct Answer: A

Rationale: The correct answer is A: Contraction durations of 95 to 100 seconds. Prolonged contractions can indicate uterine hyperstimulation, leading to decreased fetal oxygenation. Staff should report this to the provider for further evaluation and management. Explanation: 1. Contraction durations of 95 to 100 seconds are prolonged and may indicate uterine hyperstimulation, potentially compromising fetal oxygenation. 2. Reporting this finding to the provider allows for timely intervention to prevent fetal distress. 3. Choices B, C, and D do not directly indicate a concern for fetal well-being during labor and would not require immediate reporting to the provider.

Correct Answer: A

Rationale: The correct answer is A: RBC count. During pregnancy, an increase in RBC count is expected due to physiological changes in the body to support the increased oxygen demand for the developing fetus. This is known as physiologic anemia of pregnancy. Bilirubin levels may remain stable or decrease during pregnancy. Fasting blood glucose levels may increase due to gestational diabetes, but this is not a universal finding. BUN levels can remain stable or slightly decrease during pregnancy due to increased renal blood flow and glomerular filtration rate.