ResponseFeedback:Magnesium sulfate is used frequently for treating or preventing seizures associated with pre-eclampsia, eclampsia,and pregnancy-induced hypertension. Its effectiveness in preventing seizures in eclampsia is well accepted and documented. Impaired oxygenation, changes in LOC, and ECG changes are not indications for the administration of magnesium sulfate in the pregnant patient.Question 211 out of 1 pointsA female patient has been prescribed estrogen therapy. Which of the following will the nurse advise the patient is a common adverse effect of estrogen therapy?ResponseFeedback:The nurse will advise the patient that common adverse effectsinclude breakthrough bleeding, changes in menstrual flow, dysmenorrhea, premenstrual-like syndrome, headache, nausea and vomiting, bloating, abdominal cramps, chloasma, and photosensitivity. Migraine headaches, dizziness, and changes in libido are less common adverse effects.
Question 221 out of 1 pointsThe nurse recognizes that the potential for teratogenic drug effects is notstatic throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest duringResponseFeedback:The critical period of organogenesis, during which the major fetal organs form, is from implantation up to approximately day 58 to 60 after conception. If drugs that cause teratogenic effects are administered during this period, major malformations of fetal organ systems may result.Question 231 out of 1 pointsA pregnant patient asks the nurse what over-the-counter medication she can take for recurring headaches. The nurse should recommendResponse Feedback:Tylenol, which is acetaminophen, is the only analgesic recommended for use during pregnancy.Question 241 out of 1 pointsA pregnant patient who has diabetes has been admitted to the hospital tobegin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug includeResponseFeedback:Adverse effects of oxytocin are dose related and take two forms—maternal and fetal. The most common maternal adverse effects are nausea, vomiting, uterine tachysystole, and cardiac arrhythmias. Less common but potentially fatal are severe water intoxication and hyponatremia.Question 251 out of 1 pointsA nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be toResponseFeedback:A teaching priority would be to tell the patient to use another form of birth control if she was taking an oral contraceptive. Fluconazole may decrease the effectiveness of oral contraceptives. Taking an antiemetic or antidiarrheal for adverse GI effects would be an appropriate instruction for this drug. The nurse should also instruct the patient to take aspirininstead of acetaminophen for relief of minor discomforts because acetaminophen has the potential to damage the liver and kidneys. Taking the drug with food is recommended if the
patient experiences GI distress. All of these instructions are
- Fall '13