A male client, prescribed a medication that is a pregnancy category X drug, tells the nurse that his wife is planning on becoming pregnant. What is the best response by the nurse?
1. "Congratulations, but tell your wife not to touch your medication.".
2. "Congratulations, but you will need to stop taking your medication.".
3. "Congratulations, but your wife cannot become pregnant with you on this medicine.".
4. "Congratulations, but you really need to discuss this issue with your doctor.".
2. "Congratulations, but you will need to stop taking your medication.".
Rationale:
Medications that are Pregnancy Category X drugs will be present in male sperm and can damage the fetus. Not touching the medication is important, but it is still contained in the sperm, and will damage the fetus. It is inappropriate to tell a client that his wife cannot become pregnant; all he needs to do is stop the medication. The nurse can answer this question; it does not need to be referred to the physician.
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