A patient has had hypertension for approximately 7 years and now is interested in becoming pregnant. What is the best antihypertensive drug for this woman, who is about to become preg-nant?
a. Aliskiren (Tekturna)
b. Lisinopril (Prinivil)
c. Methyldopa (Aldomet)
d. Valsartan (Diovan)
C
Methyldopa (Aldomet) is the only antihypertensive drug that should be taken by pregnant wom-en or women who want to become pregnant, because it does not cause fetal harm.
Pregnant woman should not take direct renin inhibitors [Aliskiren (Tekturna)], ACE inhibitors [Lisinopril (Prinivil)], or angiotensin-receptor blockers (ARBs) [Valsartan (Diovan)], because they cause fetal harm.
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Health or medical education for a teenage client is most effective if the parents adopt which of these approaches?
a. Monitor and remind the teenager of the acceptable performance of skills and behaviors on a consistent basis. b. Enforce strict discipline if desired behaviors are not exhibited after an adequate learning period. c. Model the behaviors they wish their children to develop. d. Pick up the "slack" for their teenager while he or she is adjusting to the new behaviors required during prescribed treatment.
A newborn of 32 weeks' gestation who is in the intensive care nursery is not permitted to nurse at this time. The mother asks if she may use the electric breast pump once her milk comes in, so she may save it for the baby
What would be the most appropriate response from the nurse? a. "Breastfeeding may be too tiring for your baby. Have you considered bottle-feeding?" b. "Starting to pump now will help stimulate milk production." c. "The breast pump may cause engorgement if your baby is not nursing." d. "We still have time because your baby is NPO."
The infant with Down syndrome is closely monitored during the first year of life for what serious condition?
a. Thyroid complications b. Orthopedic malformations c. Dental malformation d. Cardiac abnormalities
Why is it difficult for a client to be sure the herbal product purchased at the store is made in the same strength as a different brand at another store?
1. All herbal products contain the same amount of active ingredients. 2. Only one active ingredient is in each herb. 3. All herbs are collected under the same conditions. 4. Multiple active ingredients are present in herbs.