A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?
a. Antihistamines are contraindicated during the third trimester of pregnancy.
b. Second-generation antihistamines are safer than first-generation antihistamines.
c. Antihistamines should not be taken during pregnancy, but may be taken when breast-feeding.
d. The margin of safety for antihistamines is clearly understood for pregnant patients.
ANS: A
Newborns are particularly sensitive to the adverse actions of antihistamines, so pregnant women should avoid taking them late in the third trimester. All antihistamines have adverse effects on the fetus. Antihistamines can be excreted in breast milk. The margin of safety of antihistamines in pregnancy is not clear, so these agents should be avoided unless a clear benefit of treatment outweighs any risks.
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During physical examination of a patient with sickle cell disease in a vaso-occlusive crisis, the nurse would be most likely to assess which hallmark finding?
A) Pale extremities B) Dark urine C) Jaundice D) Acute pain
An older adult has been started on an antidepressant for symptoms of feeling sad with feelings of worthlessness and hopelessness. What is the best dosing strategy for this client?
a. Start with a low dose and advance at a moderate rate. b. Start with a slow dose and advance in a slow manner. c. Start at a high dose and then reduce the dose based on symptoms. d. Start at a moderate dose and then reduce as needed.
Which of the following statements accurately describes a recommended guideline for implementation? Select all that apply
A) When implementing nursing care, remember to act independently, regardless of the wishes of the client/family. B) Before implementing any nursing action, reassess the client to determine whether the action is still needed. C) Assume that the nursing intervention selected is the best of all possible alternatives. D) Consult colleagues and the nursing and related literature to see if other approaches might be more successful. E) Reduce your repertoire of skilled nursing interventions to ensure a greater likelihood of success.
A nurse is caring for a young adult in the mental health clinic. The client tells the nurse that he was physically neglected as a child. The nurse should assess the client for symptoms of which of the following?
A) Major depression B) Schizophrenia C) Narcissistic personality disorder D) Panic disorder