Page 874 - Saunders Comprehensive Review For NCLEX-RN

e. If the patch falls off and remains

off for less than 24 hours (such as
when the client is sleeping or is
unaware that it has fallen off), it can be
reapplied if still sticky, or it can be
replaced with a new patch.

f. If the patch is off for more than

24 hours, a new 4-week cycle must be
started immediately.
9. Vaginal ring
a. Inserted into the vagina by the client,
left in place for 3 weeks, and removed
for 1 week
b. The medication is absorbed through
mucous membranes of the vagina.
c. Removed rings should be wrapped in a
foil pouch and discarded, not flushed
down the toilet.
10. Implants and depot injections provide long-acting
forms of birth control, from 3 months to 5 years in
duration.

If the client decides to discontinue the contraceptive to become

pregnant, recommend that the client use an alternative form of birth
control for 2 months after discontinuation to ensure more complete
excretion of hormonal agents before conception.
XV. Fertility Medications (Box 28-5)
A. Description
1. Fertility medications act to stimulate follicle
development and ovulation in functioning ovaries
and are combined with human chorionic
gonadotropin to maintain the follicles once ovulation
has occurred.
2. Fertility medications are contraindicated in the

presence of primary ovarian dysfunction, thyroid or
adrenal dysfunction, ovarian cysts, pregnancy, or
idiopathic uterine bleeding.

3. Fertility medications should be used with

caution in clients with thromboembolic or respiratory
disease.
B. Side and adverse effects

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