Practice Question
A female client with rheumatoid arthritis takes ibuprofen 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching?
Answer Choices:
Correct Answer:
Use contraception during intercourse
Rationale:
⚠️Misoprostol (Cytotec) is a prostaglandin analog used to prevent NSAID-induced gastric ulcers but is teratogenic.
⚠️It can cause uterine contractions, miscarriage, and congenital malformations if taken during pregnancy.
⚠️Therefore, women of childbearing age must use effective contraception while on misoprostol.
⚠️This teaching is the most critical safety point to prevent severe adverse outcomes.
⚠️The nurse’s role includes emphasizing reproductive precautions when prescribing this drug.
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This question is from RN Medical Surgical Exam 2025 which contains 55 questions.
More Questions from This Exam
Which assessment finding should the nurse expect in a client with fluid volume excess?
Answer Choices:
A. Flushed skin.
B. Elevated blood pressure.
C. Weak, thready pulse.
D. Dry mucous membranes.
A client is using an otic solution, hydrocortisone, neomycin, and polymyxin B for external otitis media. Which therapeutic response should the nurse tell the client to expect?
Answer Choices:
A. Slows the rate of organism growth
B. Decreases inflammation and pain
C. Reduces the existing colony count
D. Prevents hearing loss as a possible complication.
A client is admitted to the hospital with a medical diagnosis of pneumococcal pneumonia. The nurse knows that the prognosis for gram-negative pneumonias (such as E. coli, Klebsiella, Pseudomonas, and Proteus) is very poor. Which information relates most directly to the prognosis for gram-negative pneumonias?
Answer Choices:
A. Gram-negative organisms are more resistant to antibiotic therapy
B. Usually occur in healthy young adults who have recently been debilitated by an upper respiratory infection.
C. The gram-negative infections occur in the lower lobe alveoli which are more sensitive to infection.
D. Gram-negative pneumonias usually affect infants and small children.
A client is prescribed controlled-release oxycodone. Which dosing schedule is best for the nurse to teach the client?
Answer Choices:
A. As needed.
B. Every 4 to 6 hours.
C. Every 24 hours.
D. Every 12 hours.
The nurse is performing an ophthalmoscopic examination on a hypertensive client. When assessing the client, which finding indicates the severity of hypertension?
Answer Choices:
A. Opague color of the sclera.
B. Transparency of the cornea.
C. Amount of retinal vessel damage that has occurred.
D. Constriction and dilatation of the pupils.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4