The patient is receiving Phenobarbital (Luminal) for control of seizures. The patient tells the nurse she plans to become pregnant. What is the best response of the nurse?
1. "Your medication dose will need to be decreased during your pregnancy."
2. "Please talk to your doctor; this drug is contraindicated in pregnancy."
3. "Your medication dose will need to be increased during your pregnancy."
4. "Please talk to your doctor; you will need a safer drug like valproic acid (Depakene)."
Correct Answer: 2
Rationale: Phenobarbital (Luminal) falls under Pregnancy Category D, and is contraindicated in pregnancy. The medication does not need to be increased; it might need to be stopped. The medication does not need to be decreased; it might need to be stopped. Valproic acid (Depakene) is also a Pregnancy Category D drug and is contraindicated during pregnancy.
You might also like to view...
A client who prefers complementary treatments informs you that she is drinking cranberry juice to prevent UTIs. Your best response would be:
1. "There is no proof that cranberry juice can help to prevent UTIs.". 2. "Dried cranberries are more effective in preventing UTIs than cranberry juice.". 3. "Cranberry juice may help to prevent UTIs when combined with adequate fluid intake and good personal hygiene.". 4. "Cranberry juice has high amounts of added sugar and is more likely to cause than prevent UTIs.".
A client with Alzheimer's disease receives tacrine (Cognex). Her son is commenting on his mother's condition. Which comment indicates an expected positive effect from this medication?
a. "My mother is less unstable on her feet." b. "My mother is not deteriorating at this time." c. "My mother seems to be cured of her Alzheimer's." d. "My mother is no longer at risk of the effects of Alzheimer's."
Which of the following characteristics is most likely experienced by children of impaired parents? (Select all that apply.)
a. Disorders of impaired attention b. Social inadequacy c. Difficulty with authority figures d. Increased self-esteem e. Decreased sense of responsibility f. Increased risk of exposure to domestic violence
Mrs. Jenkins is a 78-year-old patient who was admitted to the hospital for a bowel obstruction. She is immobile and the nurse has noticed that she has a reddened area on her right heel
When the nurse presses on the area it does not turn lighter in color. She knows that the skin injury is reversible if the pressure is relieved and she uses measures to protect the tissue. How should the nurse document the tissue condition? A. Reactive hyperemia B. Blanchable hyperemia C. Nonblanchable hyperemia D. Cachexia