A nurse is providing teaching to a female client regarding an intrauterine device (IUD) in the outpatient clinic. Which of the following statements should the nurse include in the teaching?

“You might have to have cultures for sexually transmitted infections prior to placement of the device.”

“The device will have to be replaced every 2 years.”

“You might experience irregular spotting the first few months after placement of the device.”

“You will need to avoid using tampons during menstrual cycles.”

“You will need to sign informed consent prior to the procedure.”