The nurse is caring for a pregnant patient experiencing a new episode of hypertension. Which medication does the nurse anticipate will be prescribed for this patient?
A. Methyldopa [Aldomet]
B. Propranolol [Inderal]
C. Captopril [Capoten]
D. Valsartan [Diovan]
Answer: A. Methyldopa [Aldomet]
Explanation: Hypertension is the most common complication of pregnancy, occurring in about 10% of pregnant patients. When drug therapy is initiated during pregnancy, methyldopa is the traditional agent of choice because of its limited effects on the fetus. Patients with preexisting hypertension typically can continue taking the antihypertensives they previously were prescribed except for angiotensin-converting enzyme (ACE) inhibitors, such as captopril; angiotensin II receptor blockers (ARBs), such as valsartan; and direct renin inhibitors, such as aliskiren.
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A pregnant woman calls the clinic to complain of sharp, right-sided lower abdominal pain. Which question by the nurse would elicit the most relevant information?
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A) "The client is probably confused and told you the wrong amount." B) "Aging affects the body's ability to handle drugs. Some elderly clients will take dosages of medications that are less than are recommended for adults." C) "Some elderly clients can't afford to pay for their medications, so he probably only takes half of what he is supposed to be taking." D) "Hepatic blood flow increases as one ages. This requires less of a medication to prevent toxicity."
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a. "Tell your friends and family so they can help you." b. "Talk only to other friends who are infertile because only they can help." c. "Get involved with a support group. I'll give you some names." d. "Start adoption proceedings immediately because it is very difficult to obtain an infant."