An 18-year-old patient asks the nurse for assistance in choosing a birth control method. She tells the nurse that she smokes infrequently and has trouble remembering to take her daily vitamins. Which method does the nurse recommend to the patient?

Implantable progesterone-only device. An implantable progesterone-only birth control method would be the best choice for this patient. Since she is a smoker, a progesterone-only method is preferred to lower thromboembolic risk. Since she has a difficult time remembering to take daily medications, an implantable method is better than a daily pill where she would be more likely to miss doses. An estrogen-containing method is not recommended because she is a smoker, which would increase her risk for clots. While condoms are a method to prevent the spread of STIs and their regular use should be encouraged, their failure rate as a birth control method is much higher than hormonal therapy.

An 18-year-old patient asks the nurse for assistance in choosing ...

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Pharmacological and Parenteral Therapies
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Category: Pharmacological and Parenteral Therapies
Difficulty: 5

Topics: Communication & Documentation Disease Prevention Lifestyle Choices and High Risk Behavior Medication and Blood Products Routes of Administration

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