The pregnant client has asked the nurse what kinds of medications cause birth defects. Which statement would best answer this question?
1. "Birth defects are very rare. Don't worry; your doctor will watch for problems."
2. "To be safe, don't take any medication without talking to your doctor."
3. "Too much vitamin C is one of the most common issues."
4. "Almost all medications will cause birth defects in the first trimester."
2
Explanation: 2. The nurse should remind the client of the need to check with her caregiver about medications. If a woman has taken a drug in category D or X, she should be informed of the risks associated with that drug and of her alternatives.
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A client is being evaluated for a scabies infection. To confirm the diagnosis, the nurse informs the client that which test needs to be performed?
1. Wood's light examination 2. Skin scraping 3. Patch test 4. Tzanck test
At which auscultatory site would S2 best be heard?
1) Mitral 2) Tricuspid 3) Erb point 4) Aortic area
Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 12:30 p.m. What would the nurse anticipate that the narcotic analgesia could do?
1. Be used in place of preoperative sedation 2. Result in neonatal respiratory depression 3. Prevent the need for anesthesia with an episiotomy 4. Enhance uterine contractions
Which instruction will the nurse include in a teaching plan for a client taking metoprolol (Lopressor) for treatment of hypertension?
a. Rise slowly from a supine or sitting position. b. Limit fluid intake while taking this drug. c. Frequent ophthalmic exams are encouraged. d. Use lozenges if a dry cough occurs.