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    Hesi rn d441 pharmacology 0A1 proctored exam

    A female client with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching?

    Explanation & Rationale

    A) Call the healthcare provider immediately if there is a chance of conception: This statement indicates understanding of misoprostol's potential to induce abortion and the need for caution in women of childbearing age. It reflects appropriate awareness and indicates that further teaching may not be necessary. B) Begin therapy 1 week before the next normal menstrual cycle: This statement indicates a misunderstanding of misoprostol's use and timing. Misoprostol is used to prevent ulcers, and it should not be started based on the menstrual cycle. Instead, it should be initiated as prescribed by the healthcare provider, and the timing should not be linked to the menstrual cycle. C) Use condoms and a backup method of birth control to prevent pregnancy: This indicates an appropriate understanding of the need for effective contraception while taking misoprostol. This medication can cause serious complications if pregnancy occurs, so this statement shows proper awareness. D) Ensure a negative pregnancy test result 2 weeks before therapy: This statement demonstrates a correct understanding of the need for a negative pregnancy test prior to starting therapy with misoprostol. Ensuring that a client is not pregnant before starting this medication is crucial to avoid potential harm.

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