Although reported in small numbers,toxic shock syndrome can occur with the use of a diaphragm.If a client is interested in this form of conception control,the nurse should teach the woman how to reduce her risk of TSS.The nurse might say:

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The nurse should instruct the client on proper use and removal of the diaphragm,and include the danger signs of TSS.The diaphragm must remain against the cervix for 6 to 8 hours to prevent pregnancy,but it should not remain in place longer than 8 hours to avoid the risk of TSS.The diaphragm should not be used during menses.The diaphragm needs to remain against the cervix for 6 to 8 hours to prevent pregnancy,but it should not remain in place longer than 8 hours to avoid the risk of TSS.

Although Reported in Small Numbers,toxic Shock Syndrome Can Occur with the Use