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 D
Explanation
Choice A rationale
Evidence of human fetal risk would categorize the drug as Category D or X, not Category B.
Choice B rationale
This statement aligns more with Category C drugs, where animal studies show adverse effects, but not Category B.
Choice C rationale
This describes Category A drugs, not Category B.
Choice D rationale
Category B drugs have shown no risk in animal studies but lack adequate human studies, fitting this description.
Correct Answer is B
Explanation
Choice A rationale
Administering the medication even if the name of the drug can be clearly read is risky because the rest of the label might contain essential information like dosage, expiration date, and other critical instructions. Administering a medication without complete labeling increases the risk of medication errors.
Choice B rationale
Discarding the entire bottle and contents and obtaining a new bottle is the safest option. It ensures that the nurse is using a medication with a fully intact label, which includes all necessary information to safely administer the medication, such as dosage, route, and expiration date.
Choice C rationale
Asking another nurse to verify the contents of the bottle is not sufficient because the torn and soiled label still lacks complete information. Without all details, there's a risk of administering the wrong dosage or an expired medication.
Choice D rationale
Finding the drug information and making a new label for the bottle is not appropriate because it does not guarantee the accuracy of the dosage or other critical details that were on the original label. It's better to use a completely labeled and verified medication bottle.
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