The nurse is caring for a 27-year-old African American woman who was just prescribed an ACE inhibitor for the management of her hypertension.What should be advised related to contraception?
Explanation & Rationale
Choice A rationaleACE inhibitors can cause teratogenic effects, meaning they can harm a developing fetus. Therefore, precautions should be taken to avoid pregnancy while taking these drugs.Choice B rationaleSpermicidal jellies alone are not a highly reliable form of contraception. For women taking ACE inhibitors, a more reliable method of contraception is recommended to prevent pregnancy.Choice C rationaleThe minipill, a progestin-only contraceptive, is not the contraceptive of choice when the risk of teratogenic effects from ACE inhibitors is considered. Barrier methods are preferred to avoid potential drug interactions.Choice D rationaleBarrier contraception, such as condoms or diaphragms, is recommended for women taking ACE inhibitors to prevent pregnancy due to the teratogenic risk associated with these drugs.