The nurse is caring for a woman who will begin taking ibuprofen to treat arthritis. The woman tells the nurse that she takes Yasmin for contraception. The nurse will perform which action?
a. Counsel the patient to use a backup method of contraception while taking ibuprofen.
b. Notify the provider to discuss an alternate combination oral contraceptive.
c. Suggest a COX-2 inhibitor instead of ibuprofen for arthritis pain.
d. Tell the patient to use a lower dose of ibuprofen to prevent adverse effects.
ANS: B
Yasmin contains drospirenone, which is derived from spironolactone. Drospirenone can alter water and electrolyte balances in women, and women taking this product should avoid NSAIDs to avoid compounding this effect. The provider may want to consider another COC product. It does not alter fertility.
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