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.