Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select one that does not apply.

Correct Answer: B

Rationale: In the context of pharmacology and contraception, it is crucial for nurses to educate patients on the possible side effects of oral combination contraceptives. For this question, the correct answer is option B) Thick vaginal discharge. The rationale behind this is that thick vaginal discharge is not a common side effect of oral combination contraceptives, unlike the other options provided. A) Irregular bleeding is a common side effect that may occur when a client is taking oral combination contraceptives. It is important for patients to be aware of this possibility to avoid unnecessary worry. C) Nausea is another common side effect that patients may experience when initiating oral combination contraceptives. Educating patients on this potential side effect can help them manage it effectively. D) Breast tenderness is also a known side effect of oral combination contraceptives. By informing patients about this, nurses can prepare them for any discomfort they may experience. In an educational context, providing this information to patients empowers them to make informed decisions about their contraceptive choices and manage any side effects they may encounter effectively. It also ensures patient safety and compliance with the prescribed medication regimen.

Correct Answer: B

Rationale: The IUD may contain metal components, and it's crucial to check for any metal allergies before placement. Choice A, family history of heart disease, is not directly related to IUD use. Choice C is incorrect because previous IUD insertion is not as crucial as identifying an allergy to the materials in the IUD. Choice D is incorrect because hypertension is not a contraindication for IUD use, though it should be monitored.

Correct Answer: B

Rationale: Birth control pills primarily work by preventing ovulation, thereby inhibiting the release of eggs for fertilization. Choice A is incorrect because birth control pills do not directly block sperm; they prevent ovulation. Choice C is partially correct but is not the main mechanism, as the primary function is to prevent ovulation. Choice D is incorrect because birth control pills do not alter the size of reproductive organs.

Correct Answer: A

Rationale: Emergency contraception is most effective when taken within 72 hours of unprotected sex. Choice B is incorrect as it is not as effective after 5 days. Choice C is incorrect because emergency contraception works primarily by preventing ovulation, not by preventing implantation. Choice D is incorrect because most emergency contraception methods are available over the counter.

Correct Answer: B

Rationale: Irregular bleeding, including spotting, is a common side effect of the contraceptive implant. Choice A is incorrect because the implant typically leads to lighter periods or no periods at all. Choice C is incorrect as weight gain is not a guaranteed side effect, though some women report it. Choice D is incorrect because hair loss is not commonly associated with the implant.