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
Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease characterized by obstructed airflow from the lungs. While related to respiratory health, it is distinct from tuberculosis.
Choice B rationale
Bronchiectasis is a condition involving the permanent enlargement of parts of the airways of the lung, often caused by infection or other lung conditions but is different from tuberculosis.
Choice C rationale
Emphysema is a chronic lung condition where the alveoli (air sacs) are damaged, leading to breathing difficulties. This condition is usually associated with smoking and is distinct from tuberculosis.
Choice D rationale
Consumption is an old term for tuberculosis, reflecting the wasting away (consuming) nature of the disease due to the progressive weight loss and weakness it causes.
Correct Answer is C
Explanation
Choice A rationale
Reassuring the client without addressing the persistent cough would not be appropriate as it may signal a need for a different medication. The ACE inhibitor captopril can cause a bothersome, persistent cough in some patients due to increased bradykinin levels.
Choice B rationale
Instructing the patient to stop the medication immediately is not advised without consulting the healthcare provider. While the cough is a known side effect, stopping the medication abruptly may lead to unmanaged hypertension.
Choice C rationale
Scheduling an appointment with the provider to discuss changing to an angiotensin II receptor blocker (ARB) is appropriate. ARBs do not typically cause a persistent cough, making them a suitable alternative for patients who experience this side effect with ACE inhibitors.
Choice D rationale
Instructing the patient to go to the emergency room immediately is unnecessary as the persistent cough is a common side effect of ACE inhibitors and not an emergency situation. Emergency action is warranted for symptoms of angioedema, such as swelling of the face or throat.
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