The nurse teaches a class about medication used during pregnancy to pregnant women. The nurse determines that additional instruction is required when a class participant makes which response?
1. "The baby can only be harmed by medications during the first trimester."
2. "It is important to not take over-the-counter (OTC) drugs during my pregnancy."
3. "Exposure to teratogens can result in my baby's death or in malformations."
4. "If I breastfeed my baby, drugs can come through my breast milk."
1
Rationale 1: A baby can be harmed by medication used throughout the period of gestation.
Rationale 2: Over-the-counter (OTC) drugs should be avoided during pregnancy.
Rationale 3: Teratogens can cause fetal demise and congenital malformations.
Rationale 4: Many drugs are transferred through breast milk.
Global Rationale: A baby can be harmed by medication used throughout the period of gestation. Over-the-counter (OTC) drugs should be avoided during pregnancy. Many drugs are transferred through breast milk. Teratogens can cause fetal demise and congenital malformations.
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When considering factors influencing health and the impact of illness, specifically age, the nurse would correctly identify which patient as having the greatest risk?
a. A 47-year-old man b. A 23-year-old woman c. a 10-year-old girl d. an 85-year-old woman
A client in her second trimester informs the nurse that she needs to travel by air the following week. Which of the following precautions should the nurse instruct the client to take during the flight?
A) Wear a padded bra. B) Wear low-heeled shoes. C) Wear support hose. D) Wear cotton clothes.
Carbamazepine has a Black Box Warning recommending testing for the HLA-B*1502 allele in patients with Asian ancestry prior to starting therapy due to:
1. Decreased effectiveness of carbamazepine in treating seizures in Asian patients with the HLA-B*1502 allele 2. Increased risk for drug interactions in Asian patients with the HLA-B*1502 allele 3. Increased risk for Stevens-Johnson syndrome in Asian patients with HLA-B*1502 allele 4. Patients who have the HLA-B*1502 allele being more likely to have a resistance to carbamazepine
While performing an admission assessment on a patient with the diagnosis of bone cancer, you determine that your patient has a history of Paget's disease. The patient's family informs you that the patient has had some recent muscle weakness and personality changes. You would want to assess the patient's lab values for which of the following?
A) Hyperkalemia. B) Hypercalcemia. C) Hypokalemia. D) Hypocalcemia.