Mitoxantrone (Novantrone) is prescribed for a 24-year-old woman with relapsing-remitting multiple sclerosis. In preparing a teaching plan for this patient, which question would be most pertinent for the nurse to ask?
a. "How are you managing contraception?"
b. "Have you ever experienced an eating disorder?"
c. "Do you experience spotting between menstrual periods?"
d. "Did you have facial acne during adolescence?"
ANS: A
Mitoxantrone has the potential for fetal harm and is classified by the U.S. Food and Drug Administration (FDA) as a pregnancy risk category D drug. Before beginning treatment with mitoxantrone, the patient should have a pregnancy test.
The medication can cause nausea and vomiting; however, these symptoms are not related to an eating disorder history.
The medication can cause menstrual irregularities and amenorrhea, therefore the question about spotting between menstrual periods is important, but it is not the most important question to ask.
Adolescent facial acne is not relevant.
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