The nurse is caring for a pregnant client who has asthma. The client has a cold and has an exacerbation of asthma symptoms, including mild wheezing
To help avoid hypoxia-related complications in the fetus, which medication prescription does the nurse anticipate?
A) IV corticosteroid (e.g., prednisone)
B) Oral pseudoephedrine (e.g., Sudafed)
C) Inhaled beta2-agonist (e.g., albuterol)
D) Oral acetylsalicylic acid (e.g., aspirin)
Answer: C
Albuterol, a beta2-agonist, is the medication recommended to treat asthma exacerbations during pregnancy. Steroids, decongestants such as pseudoephedrine, and aspirin should be avoided in pregnancy because of potential harmful effects to the fetus.
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A medical nurse has administered an oral dose of 30 mg nifedipine long-acting to a patient with a diagnosis of angina. What principle should guide the nurse's follow-up assessment after administering this drug?
A) Nifedipine has the potential to induce prodysrhythmic effects. B) Nifedipine does not affect heart rate, so assessment after administration is not normally necessary. C) The patient's heart rate will be at its lowest approximately 45 minutes to 1 hour after oral administration of nifedipine. D) The patient's blood pressure, heart rate, and oxygen saturation level should be assessed 30 minutes after administration of nifedipine.
A nurse is conducting a prenatal history with a patient who is new to the clinic. The woman reports that she had one healthy baby at term, and a miscarriage at 8 weeks. What will the nurse document as the patient's GTPAL?
a. 21011 b. 20111 c. 30111 d. 31011
What term is used to describe a child's level of consciousness when the child is arousable with stimulation?
a. Stupor b. Confusion c. Obtundation d. Disorientation
In interviewing for a new position, a nurse may want to inquire about the institution's views on autonomy in the workplace for nurses. The nurse concludes that autonomy is valued when told that the unit has:
a. Infrequent "floating.". b. Self-scheduling. c. Cover of another nurse's assignment while she or he is on break. d. Hourly pay differential for the night shift.