A 25-year-old patient is prescribed a pregnancy category D drug ...

[rayancarla1]

A 25-year-old patient is prescribed a pregnancy category D drug for acne for 6 months. Which precaution is most important for the nurse to teach?
 
  a. Drugs in this category reduce the effectiveness of oral contraceptives and you will need to switch to another form of birth control to prevent pregnancy.
  b. One side effect of drugs in this category is nausea, which will make morning sickness more severe if you become pregnant while taking this drug.
  c. Use two reliable forms of birth control during the next 6 months because drugs in this category cause severe birth defects.
  d. Your risk for sexually transmitted diseases is increased while taking this drug and for 3 months after therapy is completed.

Question 2

A patient with severe heart failure asks why the prescriber has lowered the dosages of most of the patient's daily medications. What is the nurse's best response?
 
  a. With a weaker heart, the drugs stay in your system longer, so you don't need as high a dosage.
  b. Your heart drugs enhance the action of your other drugs, reducing the need for higher dosages.
  c. Your heart is not strong enough to tolerate these drugs, making the risk for a heart attack higher.
  d. The drugs are very expensive, and with these heart problems your health is not expected to improve.

[LegendaryAnswers]

Answer to Question 1

C
Drugs in pregnancy category D have been tested and are known to greatly increase the risk for birth defects. These drugs are not to be used during pregnancy unless the health problem is so serious that the potential benefits outweigh the risk for serious fetal harm. When prescribed for a sexually active woman of childbearing age, two different types of reliable birth control methods are recommended.

Answer to Question 2

A
Good heart function is needed to move drugs in the blood to the liver and kidneys. Poor circula-tion as a result of heart failure can lead to slower drug metabolism and elimination. This can cause toxic buildup of drug blood levels. Commonly, drug dosages are lowered for patients with severe heart failure.

[rayancarla1]

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