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NSG 6440 FINAL EXAM PREDICTOR QUESTIONS AND ANSWERS WITH EXPLANATIONS
NSG 6440 FINAL EXAM PREDICTOR QUESTIONS AND ANSWERS WITH EXPLANATIONS
1) An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
c. if she forgets to take a single dose of the contraceptive
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol), primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the effectiveness of contraceptives. Depo-medroxyprogesterone acetate injections or levonorgestrel- releasing intrauterine devices would be a better method of contraceptive for patients taking anticonvulsants. Most commonly used antibiotics have not been proven to reduce the effectiveness of contraceptives. Rifampin is an exception, and additional …. Be used by women taking this drug and using oral contraceptives, transdermal, or vaginal ring preparations.
Additional backup contraception should be used if taking antifungal agents. No additional protection is needed thought the week of placebo pills. Missing one single dose of contraceptive does not require additional protection, missing more than one doses does.
2) A 30 y/o female patient is being seen by the NP for the first time. She is seeking advice from the NP about becoming pregnant. She is currently taking an oral contraceptive. She gives a hx of having hydatidiform molar pregnancy 2 years ago. An appropriate plan of care for this
a. patient should include
b. Delaying pregnancy for 1 more year
c. Measuring serum chorionic gonadotropin level d. Discontinuing oral contraceptive
e. Recommending permanent sterilization
Explanation: A Women should be instructed to use birth control for 1 year after treatment for a hydatidiform mole. Pregnancy raises hCG levels which increases the risk for choriocarcinoma.
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Specifications
- School: Chamberlain College Of Nursing
- Course: NURSING
Document
- Section: Examinations
- Updated on: 12-07-2023
- Made on: 12-01-2023
- Type: .pdf
- Pages: 81
- Language: English
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Subjects of NURSING - Chamberlain College Of Nursing
More NURSING ›ati ati comprehensive predictor ati pharmacology ati pharmacology proctored community health comprehensive fundamentals health care health care / nursing health care/ nursing healthcare hesi hesi rn exit leadership maternal newborn med surg medical surgical mental health nurs nursing nursing & health pediatrics pharmacology test bank tncc
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