A physician is considering prescribing abatacept (Orencia) for a 34-year-old female patient with rheumatoid arthritis. Which priority action would the nurse expect the physician to take prior to prescribing?
a. Ask the patient if her insurance covers this medication.
b. Select another drug since the patient is of childbearing age.
c. Take the patient's temperature.
d. Initiate IV access.
ANS: B
The Food and Drug Administration requires a warning label that pregnancy must be ruled out and avoided in all women who are of childbearing age while they are taking this drug. This is a category X drug that is contraindicated during pregnancy.
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