A client had a levonorgestrel-releasing intrauterine device placed during a well-woman visit. Which teaching is appropriate for the nurse to include?

Question

A client had a levonorgestrel-releasing intrauterine device placed during a well-woman visit.  Which teaching is appropriate for the nurse to include?

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11ecbb05_ccb7_a243_b433_e1b7aeb0d3a2_MD0009_00 Priority teaching related to intrauterine devices (IUDs) for long-term contraception focuses on prevention of sexually transmitted infections, which increase the risk for pelvic inflammatory disease, and early recognition of a dislodged device, which places the client at risk for pregnancy. The nurse may use the acronym PAINS to discuss potential complications of IUDs. The client should assess the string position weekly for the first 4 weeks and then after each menses to ensure that the device remains in place. A longer, shorter, or missing string may indicate that the IUD is no longer in the uterus; the client should notify the health care provider and abstain from intercourse or use a barrier method (eg, condom) until placement is verified (Option B). (Option A) Clients using latex condoms should use water-based personal lubricants; oil-based lubricants (eg, baby oil) can weaken the condom and cause damage or breakage. IUD integrity is not affected by lubricants. (Option C) IUD placement is not affected by significant weight changes. Significant weight loss and childbirth are considerations for women using a diaphragm barrier contraceptive device. (Option D) Copper IUDs (eg, ParaGard) provide 10 years of contraception. Levonorgestrel-releasing IUDs provide 3 years (eg, Skyla) or 5 years (eg, Mirena) of contraception. Educational objective: Priority teaching related to intrauterine devices focuses on prevention of sexually transmitted infections and early recognition of a dislodged device. A longer, shorter, or missing string may indicate that the device is no longer in the uterus and should be reported to the health care provider.

A Client Had a Levonorgestrel-Releasing Intrauterine Device Placed During a Well-Woman