While caring for a 31-year-old female client who is initiating therapy with Thalomid (thalidomide), the nurse recognizes the need for further teaching by which of the following statements.
A) "I can't start the medication until I've had a negative pregnancy test."
B) "I must have a pregnancy test every month for the first 3 months I take this medication."
C) "I must use two methods of birth control while I am taking this medication."
D) "I will not be able to donate blood while taking this medication."

Question

Quizplus · Accepted Answer

Thalidomide is known for its teratogenic effects, and it is crucial for women of childbearing potential to avoid pregnancy while taking it. A) is correct because a negative pregnancy test is required before starting thalidomide. C) is correct because two forms of birth control are recommended to prevent pregnancy due to the high risk of birth defects. D) is correct because donating blood could risk transferring the medication to a pregnant woman through a transfusion. B) is incorrect because pregnancy tests are required monthly, but not just for the first 3 months; they are required as long as the woman is on the medication and for some time after discontinuation to ensure she is not pregnant.

While Caring for a 31-Year-Old Female Client Who Is Initiating