A 30-year-old female patient is to be started on misoprostol (Cytotec) for treatment of a gastric ulcer secondary to long-term ibuprofen (Motrin) use. Which of the following must the nurse in-clude in the patient education?
a. "Start taking the drug at the end of your next menstrual period."
b. "Take the medication 1 hour before meals."
c. "Use a reliable method of birth control."
d. "Perform a breast self-examination weekly while on the medication."
C
Because the patient is of childbearing age, she must be able to comply with birth control meas-ures and use a reliable method. The patient must have a negative serum pregnancy test within 2 weeks of starting therapy. The drug is contraindicated during pregnancy because it can lead to partial or complete expulsion of the fetus.
The medication should be started only on the second or third day of the next normal menstrual cycle.
The medication should be taken with meals (not before) and at bedtime.
There is no basis for performing breast self-examination more often.
You might also like to view...
Which aspect of direct care is the hospital psychiatric nurse most likely to provide for a client?
a. Hygiene assistance b. Assertiveness training c. Diversional activity d. Assistance with job hunting
A patient with an eating disorder denies using any of the compensatory behaviors that individuals with bulimia use to prevent weight gain, such as self-induced vomiting and
a. fad diets. c. weight cycling. b. abuse of laxatives, diuretics, or enemas. d. refusal to exercise.
A patient diagnosed with schizophrenia was rehospitalized after a relapse. A priority intervention in designing a discharge plan to prevent relapses will be:
a. helping the patient's family develop tolerance for the cognitive symptoms. b. mobilizing the family to provide structure to reduce social dysfunction. c. working on self-concept to reduce avolition, anhedonia, and dysphoria. d. early identification of signs of impending relapse and coping strategies.
The nurse is instructing a postmenopausal client in the importance of having serum lipid levels analyzed because after menopause, which of the following changes can occur? (Select all that apply.)
1. Total cholesterol increases 2. Low-density lipoprotein increases 3. Triglycerides increase 4. High-density lipoprotein decreases 5. Low-density lipoprotein decreases 6. High-density lipoprotein increases