The physician orders misoprostol (Cytotec) for the female client with peptic ulcer disease (PUD). What is a priority question for the nurse to ask the client prior to administration of this medication?
1. "Do you plan on becoming pregnant?"
2. "Are you sexually active?"
3. "Are you pregnant?"
4. "Are your menstrual cycles irregular?"
3
Rationale 1: Misoprostol (Cytotec) is safe as long as the client is not currently pregnant.
Rationale 2: Asking if a client is sexually active could be appropriate, but the nurse would also ask if the client is using birth control.
Rationale 3: Misoprostol (Cytotec) is contraindicated during pregnancy; it is sometimes used to terminate pregnancies.
Rationale 4: There is no contraindication for misoprostol (Cytotec) in a client with irregular menstrual cycles.
Global Rationale: Misoprostol (Cytotec) is contraindicated during pregnancy; it is sometimes used to terminate pregnancies. Misoprostol (Cytotec) is safe as long as the client is not currently pregnant. Asking if a client is sexually active could be appropriate, but the nurse would also ask if the client is using birth control. There is no contraindication for misoprostol (Cytotec) in a client with irregular menstrual cycles.
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