The nurse is caring for a woman who will begin taking ibuprofen ...

[bobthebuilder]

The nurse is caring for a woman who will begin taking ibuprofen to treat arthritis. The woman tells the nurse that she takes Yasmin for contraception. The nurse will perform which action?
 
  a. Counsel the patient to use a backup method of contraception while taking ibuprofen.
  b. Notify the provider to discuss an alternate combination oral contraceptive.
  c. Suggest a COX-2 inhibitor instead of ibuprofen for arthritis pain.
  d. Tell the patient to use a lower dose of ibuprofen to prevent adverse effects.

Question 2

A woman who is 2 months pregnant tells the nurse that she has never received the MMR vaccine and has not had these diseases. She has a 3-year-old and a 5-year-old child who have not been immunized.
 
  The nurse will counsel the patient to perform which action?
  a. Delay obtaining the vaccines for her children and herself until after her baby is born.
  b. Have her children vaccinated now and obtain the vaccine for herself after the baby is born.
  c. Obtain the MMR vaccine for her children and herself when she is in her third trimester of pregnancy.
  d. Obtain the MMR vaccine for her children and herself within the next few weeks.

[Jane]

Answer to Question 1

ANS: B
Yasmin contains drospirenone, which is derived from spironolactone. Drospirenone can alter water and electrolyte balances in women, and women taking this product should avoid NSAIDs to avoid compounding this effect. The provider may want to consider another COC product. It does not alter fertility.

Answer to Question 2

ANS: B
Pregnant women should not receive MMR vaccine because it is a live virus and there is risk to the fetus. Her children should be vaccinated so they do not contract rubella and pass it to her.

[bobthebuilder]

TYSM

[bimper21]

Excellent