The nurse is caring for a patient who is taking a calcium-channel blocker.
What adverse effects would the nurse caution this patient about?

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.

Choice A rationale

Ataxia is less commonly associated with opioids than other adverse effects.

Choice B rationale

Dysrhythmias are not typically associated with opioids.

Choice C rationale

Blurred vision isn't a major adverse effect of opioids.

Choice D rationale

Hypotension is a common adverse effect of opioid use and must be monitored.