The nurse is caring for a 27-year-old African American woman who was just prescribed an ACE inhibitor for the management of her hypertension.
What should be advised related to contraception?
No special precautions need to be taken.
The use of spermicidal jellies is recommended.
The minipill is the contraceptive of choice.
Use barrier contraception to prevent pregnancy while taking these drugs.
The Correct Answer is D
Choice A rationale
ACE inhibitors can cause teratogenic effects, meaning they can harm a developing fetus. Therefore, precautions should be taken to avoid pregnancy while taking these drugs.
Choice B rationale
Spermicidal jellies alone are not a highly reliable form of contraception. For women taking ACE inhibitors, a more reliable method of contraception is recommended to prevent pregnancy.
Choice C rationale
The minipill, a progestin-only contraceptive, is not the contraceptive of choice when the risk of teratogenic effects from ACE inhibitors is considered. Barrier methods are preferred to avoid potential drug interactions.
Choice D rationale
Barrier contraception, such as condoms or diaphragms, is recommended for women taking ACE inhibitors to prevent pregnancy due to the teratogenic risk associated with these drugs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Asking the patient what time of day the medication is taken can help identify if taking it at a different time might alleviate sleep disturbances. SSRIs like sertraline can cause insomnia if taken later in the day.
Choice B rationale
Recommending a weekly dosage is inappropriate and could potentially disrupt the therapeutic effect. SSRIs should be taken daily, as prescribed.
Choice C rationale
Counseling the patient to take the medication at bedtime could worsen sleep disturbances, as sertraline may cause insomnia in some individuals. Timing should be adjusted based on patient response.
Choice D rationale
Suggesting a lower dose without consulting the provider may not address the issue effectively and could reduce the efficacy of the medication. Dosage adjustments should be made based on clinical assessment and provider recommendation.
Correct Answer is A
Explanation
Choice A rationale
Assessing pulses and blood pressure is crucial before administering an antiarrhythmic agent because these drugs can affect heart rate and blood pressure, requiring close monitoring to prevent adverse effects.
Choice B rationale
While assessing breath sounds is important in overall patient care, it is not the priority before administering antiarrhythmic agents as these drugs primarily affect the cardiovascular system.
Choice C rationale
Assessing mental status is important in patient care, but it is not the priority before administering an antiarrhythmic agent, as these medications primarily influence cardiovascular parameters.
Choice D rationale
Assessing urine output is vital for monitoring kidney function and fluid balance, but it is not the priority before administering an antiarrhythmic agent, which mainly affects heart rhythm and blood pressure.
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