QUESTION: "The physician prescribes clomiphene citrate (Clomid) for a woman who has been having difficulty getting pregnant. When teaching the client about this drug's potential side effects, which of the following would the nurse include in the teaching plan? "
CHOICES
( O ) a.) Multiple pregnancies.
( X ) b.) Increase in spontaneous abortions.
( X ) c.) Increase in fibrocystic breast disease.
( X ) d.) Increase in congenital anomalies.
RATIONALE: Clomiphene citrate (Clomid) is a fertility drug that induces ovulation in women desiring pregnancy. One of the drug's most common side effects is multiple gestation (twins, triplets, or more). An increase in spontaneous abortions is not associated with clomiphene citrate (Clomid). Evidence does not support an association between the use of clomiphene citrate (Clomid) and an increase in fibrocystic breast disease. An increase in congenital anomalies is not associated with clomiphene citrate (Clomid). NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies