The healthcare provider prescribes misoprostol (Cytotec) for a ...

[jwb375]

The healthcare provider prescribes misoprostol (Cytotec) for a female client for the treatment of peptic ulcer disease. What should the nurse ask the client prior to administration of this medication?
 
  A) Is there any chance that you are pregnant?
  B) Are you currently sexually active?
  C) Are your menstrual cycles irregular?
  D) Do you plan on becoming pregnant in the next few months?

Question 2

The nurse is planning a teaching session for older community members about the risks for peptic ulcer disease (PUD) found with this age group. What should the nurse include when teaching this community group?
 
  A) PUD in an older client causes less bleeding than in a younger client.
  B) The elderly client experiences more severe abdominal pain than a younger client with PUD.
  C) Older clients should undergo colonoscopy when diagnosed with PUD.
  D) Peptic ulcer disease (PUD) is likely to be exacerbated by the bacterium H. pylori.

[emsimon14]

Answer to Question 1

Answer: A

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

Answer to Question 2

Answer: D

H. pylori infection is a major factor in the development of ulcers, and prevalence increases with the age of the client. Seventy to ninety percent of persons with gastric ulcers and 90 to 100 of clients with duodenal ulcers are found to have this infection. Older clients experience more bleeding and often have less pain with the ulcer. Bleeding may be the initial symptom experienced. Patients with peptic ulcers should have upper GI endoscopy performed to diagnose the problem with visualization and biopsy, not colonoscopy.

[jwb375]

Excellent

[helenmarkerine]

TYSM