A pregnant patient in her third trimester asks the nurse whether she can take aspirin for headaches. Which response by the nurse is correct?
a. "Aspirin is safe during the second and third trimesters of pregnancy."
b. "Aspirin may cause premature closure of the ductus arteriosus in your baby."
c. "Aspirin may induce premature labor and should be avoided in the third trimester."
d. "You should use a first-generation nonsteroidal anti-inflammatory medication."
ANS: B
Aspirin poses risks to the pregnant patient and her fetus, including premature closure of the ductus arteriosus. ASA is not safe, especially in the third trimester, because it can cause anemia and can contribute to postpartum hemorrhage. ASA does not induce labor but can prolong labor by inhibiting prostaglandin synthesis. NSAIDs have similar effects and also should be avoided.
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Which gland can be stimulated by corticotropin (adrenocorticotropic hormone [ACTH])?
a. Thyroid b. Parathyroid c. Pituitary d. Adrenal
Phenylephrine (Neo-Synephrine) is administered to a patient before a diagnostic procedure. What should patient education about this medication include?
1. Driving may be difficult. 2. The eyes may be red for one or two days. 3. Tears will be yellow. 4. Sunlight will improve vision.
When evaluating care of a crisis patient, a psychiatric nurse must remember that one of the primary goals of crisis intervention is to:
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