A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives, The nurse realizes the client needs further explanation when she makes which of the following responses?

a. "I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy."
b. "My boyfriend can buy Plan B from the pharmacy if he is over 18-years-old."
c. "The birth control works by preventing ovulation or fertilization of the egg."
d. "I may feel nauseated or have breast tenderness or a headache after using the contraceptive."

The response " I can wait 3 to 4 days after intercourse to start taking these to prevent pregnancy. " would indicate the need for further explanation. This is because Plan B is a series of contraceptive pills, which are most effective if taken immediately after unprotected intercourse and then again 12 hours later. Waiting 3-4 days would be the wrong method of using the pills.

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