A 17-year-old pregnant female in her first trimester presents with symptoms of allergic rhinitis. The nurse practitioner should NOT recommend:
cetirizine (Zyrtec).
diphenhydramine (Benadryl).
loratadine (Claritin).
pseudoephedrine (Sudafed).
The Correct Answer is D
Rationale:
A. Cetirizine (Zyrtec) is a second-generation antihistamine considered safe for use in pregnancy, particularly after the first trimester.
B. Diphenhydramine (Benadryl) is a first-generation antihistamine generally regarded as safe in pregnancy.
C. Loratadine (Claritin) is also considered safe during pregnancy and commonly used for allergic rhinitis.
D. Pseudoephedrine (Sudafed) is a decongestant that should be avoided, especially in the first trimester, because it can reduce uteroplacental blood flow and has been associated with a small risk of congenital malformations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Oxybutynin (Ditropan XL) is used primarily for bladder overactivity and may be considered earlier than third-line therapy depending on the patient’s symptoms.
B. Desmopressin acetate (DDAVP) is usually first-line pharmacologic therapy for primary nocturnal enuresis, particularly when fluid restriction and behavioral strategies have failed.
C. Tolterodine (Detrol) is another anticholinergic used for overactive bladder but is generally not considered third-line for uncomplicated enuresis.
D. Imipramine (Tofranil), a tricyclic antidepressant, is considered third-line therapy for enuresis due to its potential for significant side effects, including cardiac toxicity in overdose. It is reserved for patients who do not respond to behavioral strategies and first-line medications.
Correct Answer is A
Explanation
Rationale:
A. Unconditional confidentiality for adolescents seeking contraception, including emergency contraception like levonorgestrel, is determined primarily by state and federal laws. Providers must follow legal requirements regarding minors’ rights to confidential reproductive healthcare.
B. Facility policies may support confidentiality, but they cannot override state or federal law.
C. While reporting requirements exist for sexual abuse or exploitation, confidentiality may still apply in other contexts depending on the law.
D. Professional guidelines provide ethical recommendations, but legal statutes take precedence in determining whether unconditional confidentiality can be maintained.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.