A client at 14-weeks gestation is seen in the clinic with a sprained ankle. The physician prescribes a mild analgesic, rest, compression, and application of an ice bag. The client is very concerned about taking the prescribed medication, telling the nurse, "I don't want to hurt my baby." How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices
are selected. Standard Text: Select all that apply.
1. "The most dangerous time for birth defects is probably in the first semester and you are past that now."
2. "You are wise to avoid all drugs. I would only use the rest, compression, and ice."
3. "Let me check with the physician to see if he remembered you are pregnant."
4. "This is a category A drug, so there is very little risk to your baby."
5. "Don't worry, it will all be okay. You need to take care of yourself first."
1,4
Rationale 1: The time of highest risk of birth defects is probably in the first trimester, and this client is past that time. It is not possible to predict that there is no risk from drug consumption.
Rationale 2: While drug avoidance is preferred, in some cases it is necessary. If the nurse has concerns about the drug prescribed, collaboration with the prescriber is indicated.
Rationale 3: Without further information about which drug was prescribed, it is non-therapeutic to make the client doubt the prescriber's choice of therapy.
Rationale 4: With category A drugs, the risk of fetal harm is unlikely.
Rationale 5: This statement is non-therapeutic and dismisses the client's concern.
Global Rationale: The time of highest risk of birth defects is probably in the first trimester, and this client is past that time. It is not possible to predict that there is no risk from drug consumption. With category A drugs, the risk of fetal harm is unlikely. While drug avoidance is preferred, in some cases it is necessary. If the nurse has concerns about the drug prescribed, collaboration with the prescriber is indicated. The statement of "don't' worry" is non-therapeutic and dismisses the client's concern.
You might also like to view...
A woman is in labor with her second child. She knows that she will want epidural anesthesia, and she has already signed her consent form. What must the nurse do before the woman receives the epidural?
A) Review the woman's medical history and laboratory results and interview her to confirm all information is accurate and up to date. B) Place the woman in the fetal position on the table and keep her steady so that she won't move during the procedure. C) Administer a fluid bolus through the IV line to reduce the risk of hypotension. D) Prepare a sterile field with the supplies and medications that will be needed.
An emergency room patient was very anxious after a serious car accident. Lorazepam (Ativan) 2 mg intramuscularly was administered. One hour later, which finding indicates to the nurse that the medication was effective?
a. Impaired problem-solving skills b. Increased alertness and attention c. Increased verbalization and activity d. Reduced agitation and environmental scanning
A nurse attending the delivery assesses and records the vital signs of the newborn
Which is a cause for concern? A) Pulse rate is 90 beats per minute (BPM) B) Axillary temperature is 98.2 degrees F C) Blood pressure is 60/40 mm Hg D) Respiratory rate is 55 breaths per minute
Which nursing actions allow a child to acquire active immunity against a disease?
1. Administering a dose of immunoglobulins 2. Administering a killed virus vaccine 3. Administering a toxoid vaccine 4. Administering antibiotic therapy 5. Administering antiviral therapy