The health care provider prescribes clomiphene for 5 days, beginning on the fifth day of menses, for treatment of infertility. After the nurse provides medication teaching, which client statement would indicate a need for further teaching?

Question

Quizplus · Accepted Answer

Clomiphene (Clomid, Serophene) is a selective estrogen receptor modulator that is used as a first-line treatment for infertility for women and works by stimulating ovulation. This medication blocks estrogen receptors in the hypothalamus and pituitary, which causes the release of hormones (ie, gonadotropin-releasing hormone, follicle-stimulating hormone, luteinizing hormone) that stimulate the ovaries to release an egg. The medication is taken orally for 5 days early in the menstrual cycle (eg, beginning on days 3-5 of menses). Ovulation typically occurs 5-9 days after completing the medication. Therefore, it is necessary for the client to understand the importance of engaging in frequent sexual intercourse (eg, every other day for 1 week) 5 days after completing the medication for the best chance of successful conception (Option C). (Option A) One of the risks of taking clomiphene is that more than one ovarian follicle sometimes develops, causing 2 or more eggs to be released, which may result in multiple gestation. (Option B) Mood swings, nausea, hot flashes, and headaches are common side effects associated with clomiphene. (Option D) This statement shows correct understanding of how clomiphene works. Educational objective: Clomiphene is an infertility treatment for women that works by stimulating ovulation. It is necessary to engage in frequent sexual intercourse 5 days after completing the medication regimen. Clomiphene may cause mood swings, nausea, hot flashes, and headaches and increases the risk of multiple gestation.

The Health Care Provider Prescribes Clomiphene for 5 Days, Beginning