The clinic nurse will immediately alert the health care provider when which category X drugs are identified on the medication record of a recently diagnosed pregnant patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Tetracycline
2. ACE inhibitor antihypertensive medication
3. Methotrexate
4. Isotretinoin (Accutane)
5. Oral contraceptives
3,4,5
Rationale 1: Tetracycline is in category D, not category X. It should be avoided during pregnancy, and the nurse should alert the health care provider.
Rationale 2: ACE inhibitor antihypertensive drugs are in category C and are considered safe during pregnancy.
Rationale 3: Methotrexate is in category X and should be avoided during pregnancy.
Rationale 4: Isotretinoin is in category X and should be avoided during pregnancy.
Rationale 5: Oral contraceptives are in category X and should be avoided during pregnancy.
Global Rationale: Methotrexate, isotretinoin, and oral contraceptives are in category X and should be avoided during pregnancy. Tetracycline is in category D, not category X. It should be avoided during pregnancy, and the nurse should alert the health care provider. ACE inhibitor antihypertensive drugs are in category C and are considered safe during pregnancy.
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