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 B
Explanation
Choice A rationale
Peripheral edema is more commonly associated with right-sided heart failure rather than left-sided. This is because right-sided heart failure leads to systemic venous congestion, causing fluid to accumulate in the peripheral tissues, particularly in the legs and ankles.
Choice B rationale
Pulmonary edema is a major concern in left-sided heart failure due to the inability of the left ventricle to effectively pump blood out to the systemic circulation. This results in blood backing up into the pulmonary veins, leading to fluid accumulation in the lungs.
Choice C rationale
Liver edema, or hepatomegaly, is more typically seen in right-sided heart failure, where the failure of the right ventricle causes blood to back up into the systemic circulation, affecting the liver and other organs.
Choice D rationale
Abdominal edema, or ascites, is also more associated with right-sided heart failure. This condition occurs due to increased pressure in the veins and capillaries, leading to fluid leakage into the abdominal cavity.
Correct Answer is B
Explanation
Choice A rationale
Knowing everything necessary for safe drug administration would imply complete knowledge and expertise, which is an unrealistic expectation for any nurse after just one course. Safe drug administration requires continuous learning and staying updated with new guidelines, drug interactions, and patient-specific factors.
Choice B rationale
General drug information includes understanding drug classes, mechanisms of action, and common side effects. Nurses can consult a drug guide for specific information such as dosage, contraindications, and interactions. This approach ensures they can safely and effectively administer medications while remaining adaptable to new drugs and evolving guidelines.
Choice C rationale
Understanding drug actions associated with each classification of medication is crucial, but it is only one aspect of pharmacology. Nurses also need to know about side effects, contraindications, and patient-specific considerations. Comprehensive drug knowledge requires ongoing education and consultation of reliable resources.
Choice D rationale
Current pharmacologic therapy knowledge is essential, but it is not static. Medical and pharmaceutical fields are constantly evolving, with new drugs, research, and guidelines emerging regularly. Nurses must engage in ongoing education to maintain their competence and provide the best care for their patients. .
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