Author Question: The physician orders misoprostol (Cytotec) for the female client with peptic ulcer disease (PUD). ... (Read 109 times)

09madisonrousseau09

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The physician orders misoprostol (Cytotec) for the female client with peptic ulcer disease (PUD). What is a priority question for the nurse to ask the client prior to administration of this medication?
 
  1. Do you plan on becoming pregnant?
  2. Are you sexually active?
  3. Are you pregnant?
  4. Are your menstrual cycles irregular?

Question 2

An 8-year-old child was just diagnosed with asthma. Which assessment questions should the nurse ask the child and parents?
 
  1. Have you eaten any new foods?
  2. Are you exposed to anyone who smokes?
  3. Have you had your carpet cleaned lately?
  4. Have you grown taller since last year?
  5. Has there been a change in laundry products recently?



durant1234

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Answer to Question 1

Correct Answer: 3
Rationale 1: Misoprostol (Cytotec) is safe as long as the client is not currently pregnant.
Rationale 2: Asking if a client is sexually active could be appropriate, but the nurse would also ask if the client is using birth control.
Rationale 3: Misoprostol (Cytotec) is contraindicated during pregnancy; it is sometimes used to terminate pregnancies.
Rationale 4: There is no contraindication for misoprostol (Cytotec) in a client with irregular menstrual cycles.

Answer to Question 2

Correct Answer: 1,2,3,5
Rationale 1: Recent diet changes should be investigated as a potential source of asthma.
Rationale 2: Cigarette smoke can trigger asthma.
Rationale 3: Recent carpet cleaning may release substances that trigger asthma.
Rationale 4: Growth rate would not likely be affected in the last year for a client with newly diagnosed asthma. Weight would be more likely to be affected than height.
Rationale 5: Changes in household chemicals may be related to the onset of asthma.



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