The nurse is preparing to instruct a nonpregnant client on the use of misoprostol (Cytotec) for a health problem. For which purposes other than medical abortion can this medication be used?
Standard Text: Select all that apply.
1. Prophylaxis for ulcers caused by NSAIDs
2. Kidney transplant rejection prophylaxis
3. Treatment of hemorrhagic cystitis
4. Treatment of hydatidiform mole
5. Treatment for menstrual irregularities
Correct Answer: 1,2
Rationale 1: This medication is FDA approved for prophylaxis of ulcers caused by NSAIDs.
Rationale 2: This medication is used off-label for kidney transplant rejection prophylaxis.
Rationale 3: This medication is not used to treat hemorrhagic cystitis.
Rationale 4: This medication is not used to treat hydatidiform mole.
Rationale 5: This medication is not used for menstrual irregularities.
Global Rationale: Cytotec is FDA approved for prophylaxis of ulcers caused by NSAIDs and is used off-label for kidney transplant rejection prophylaxis. It is not used to treat hemorrhagic cystitis, hydatidiform mole, or for menstrual irregularities.
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