The clinic nurse will immediately alert the health care provider when which category X drugs are identified on a recently diagnosed pregnant client?
1. Tetracycline
2. ACE inhibitor antihypertensive medication
3. Methotrexate
4. Isotretinoin (Accutane)
5. Oral contraceptives
Correct Answer: 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 all 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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