therapeutic effect of the drug. The patient should also take calcium and vitamin D supplements along with lifting weights to improve the success of therapy, but these interventions would not directly serve to decrease gastrointestinal distress.Question 231 out of 1 pointsA nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make isResponse Feedback:Adolescents are prone to experimentation with various substances, both legal and nonlegal; assessments related to this phenomenon are important during pregnancy. Insurance coverage, exercise, and dietary habits are considered less important.Question 241 out of 1 pointsA woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend?
Response Feedback:Acetaminophen is the analgesic of choice during pregnancy.Question 251 out of 1 pointsA 38-year-old pregnant patient admits to the nurse that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents withResponse Feedback:Fetal alcohol syndrome (FAS) can be the result of a mother using alcohol during pregnancy. Microcephaly or smallness of the head is a teratogenic characteristic of FAS. A high-pitched cry is a characteristic seen in children of mothers who used clemastine (Tavist) during pregnancy. Electrolyte imbalances and thrombocytopenia would not be common findings in mothers who abuse alcohol during their pregnancy.Question 261 out of 1 pointsA postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drugResponse Feedback:The expected benefits of the drug are obtained only when the drug is taken first thing in the morning with a glass of water, at least 30 minutes before taking other drugs, food, or beverages. Taking the drug with coffee or juice limits its absorption. After taking the drug, the patient should remain in an upright position to facilitate drug delivery to the stomach; therefore, taking the drug at bedtime is not advisable.Question 271 out of 1 pointsA nurse is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patientthat the main reason this happens is becauseResponse Feedback:
Drugs may compete with the hormones of pregnancy for albumin-binding sites, which may resultin a larger amount of unbound (or free) drug in circulation, leaving the drug available to cross theplacental membrane and enter the fetal circulation. A drug does not enter the fetal circulation as a
- Fall '13
- Pharmacology, estrogen