A young adult client with Cushing syndrome is prescribed ketoconazole (Nizoral). What question should the nurse ask before providing the client with this medication?
1. "What is your height and weight?"
2. "Are you allergic to shellfish?"
3. "Do you have a family history of cancer?"
4. "When was your last menstrual period?"
Correct Answer: 4
Rationale 1: Height and weight are not most important to ask about at this time.
Rationale 2: Shellfish allergy is not a contraindication to taking this medication.
Rationale 3: Family history of cancer is not a contraindication to taking this medication.
Rationale 4: Ketoconazole should not be used during pregnancy because it has been shown to be teratogenic and embryotoxic at high doses in animals.
Global Rationale: Ketoconazole should not be used during pregnancy because it has been shown to be teratogenic and embryotoxic at high doses in animals. Height and weight are not the primary concern. Shellfish allergy and family history of cancer are not contraindications to the use of nizoral.
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