A 30-year-old female patient is to be started on misoprostol ...

[madam-professor]

A 30-year-old female patient is to be started on misoprostol (Cytotec) for treatment of a gastric ulcer secondary to long-term ibuprofen (Motrin) use. Which of the following must the nurse include in the patient education?
 
  a. Start taking the drug at the end of your next menstrual period.
  b. Take the medication 1 hour before meals.
  c. Use a reliable method of birth control.
  d. Perform a breast self-examination weekly while on the medication.

Question 2

If a patient is experiencing nausea, vomiting, and abdominal cramps, the laxative of choice is:
 
  1. a stimulant laxative such as bisacodyl.
  2. an increase of fiber and water.
  3. an osmotic laxative such as magnesium citrate.
  4. nothing; no laxative should be given under these circumstances.

[Brummell1998]

Answer to Question 1

ANS: C
Because the patient is of childbearing age, she must be able to comply with birth control measures and use a reliable method. The patient must have a negative serum pregnancy test within 2 weeks of starting therapy. The drug is contraindicated during pregnancy because it can lead to partial or complete expulsion of the fetus.
The medication should be started only on the second or third day of the next normal menstrual cycle.
The medication should be taken with meals (not before) and at bedtime.
There is no basis for performing breast self-examination more often.

Answer to Question 2

Correct Answer: 4

[madam-professor]

Gracias!

[AngeliqueG]

TYSM