Page 873 - Saunders Comprehensive Review For NCLEX-RN

bromocriptine mesylate and anticoagulants and
increase the toxicity of tricyclic antidepressants.
11. Contraceptives may alter blood glucose levels.
12. Antibiotics may decrease the absorption and
effectiveness of oral contraceptives.
B. Side and adverse effects
1. Breakthrough bleeding
2. Excessive cervical mucus formation
3. Breast tenderness
4. Hypertension
5. Nausea, vomiting

C. Interventions

1. Monitor vital signs and weight.
2. Instruct the client in the administration of the
medication (it may take up to 1 week for full
contraceptive effect to occur when the medication is
begun).
3. Instruct the client with diabetes mellitus to monitor
blood glucose levels carefully.
4. Instruct the client to report signs of thromboembolic
complications.
5. Instruct the client to notify the OB if vaginal bleeding
or menstrual irregularities occur or if pregnancy is
suspected.
6. Advise the client to use an alternative method of birth
control when taking antibiotics because these may
decrease absorption of the oral contraceptive.
7. Instruct the client to perform breast self-examination
regularly and about the importance of annual
physical examinations.
8. Contraceptive patches
a. Designed to be worn for 3 weeks and
removed for a 1-week period
b. Applied on clean, dry, intact skin on the
buttocks, abdomen, upper outer arm,
or upper torso
c. Instruct the client to peel away half of
the backing on a patch, apply the
sticky surface to the skin, remove the
other half of the backing, and then
press down on the patch with the palm
for 10 seconds.
d. Instruct the client to change the patch
weekly, using a new location for each
patch.

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