A client who could become pregnant is prescribed misoprostol to reduce NSAID-induced gastric-ulcer risk. Which actions are appropriate? Select exactly 4 responses.
Select All That Apply
Choose your responses, then check the answer.
Explanation
For NSAID-ulcer prevention, misoprostol must not be used during pregnancy. The client needs pregnancy exclusion, effective contraception, explicit reproductive-risk counseling, and prompt reporting of suspected pregnancy.
Quick answer Prevent pregnancy exposure to misoprostol used for ulcer prophylaxis.
Why this is correct Misoprostol can cause uterine contractions, abortion, premature birth, uterine rupture, or fetal harm. It must never be shared.
Easy analogy or mental picture Use a closed medication-safety loop: identify the exposure, connect the new findings, interrupt further harm, support physiology, and verify the response over time.
Memory hook Exposure, interaction, toxicity pattern, immediate action, serial reassessment.
NCLEX decision rule Choose the action that reduces the most immediate medication-related risk while preserving monitoring and escalation.
Why the other choices are wrong Options that continue the exposure, treat only one symptom, or delay reassessment leave the toxic process active.
References
1DailyMed: CYTOTEC (misoprostol)Pregnancy contraindication for NSAID-ulcer prevention, uterine effects, contraception, and patient counseling
Medication safety reviewVerify the indication, route, interacting medicines, current respiratory and gastrointestinal findings, authorized action, and measurable follow-up.