What should patient education include for a 23 year-old using oral contraceptives?

The choice that states "Rifampin may decrease the effectiveness of oral contraceptives" is correct because it highlights an important interaction between certain medications and oral contraceptives. Rifampin is an antibiotic that is known to induce liver enzymes, which can lead to an increase in the metabolism of estrogen and progestin components in oral contraceptives. This increased metabolism results in reduced hormone levels and therefore diminished contraceptive efficacy. Proper patient education should inform women about the potential impact of such medications on birth control effectiveness, prompting them to discuss alternative contraceptive methods or additional barrier protection while being treated with rifampin.

The other options do not accurately provide essential information for patient education regarding the use of oral contraceptives. Acetaminophen, for example, does not affect the effectiveness of oral contraceptives, so it is not a relevant concern for patient education. The assertion that oral contraceptives provide protection from coronary artery disease is not entirely accurate and may mislead patients about the cardiovascular benefits of contraceptive use; thus, it should not be emphasized without context and should include relevant risks instead. Additionally, the claim about the "minipill" does not accurately reflect its primary function; while the minipill (progest