A client is to receive medications that are highly teratogenic.
What question should the nurse ask the client to support safe medication administration?

“Do any of your family members have cancer?”.

“Is there any possibility that you may be pregnant?”.

“Have you ever experienced severe side effects from a drug?”.

“Are you allergic to any prescription or non-prescription drugs?”.

Answer and Explanation

The Correct Answer is B

The nurse should ask this question to support safe medication administration because the client is to receive medications that are highly teratogenic. Teratogens are substances that can cause congenital disorders and fetal abnormalities.

The nurse should avoid giving teratogenic medications to pregnant clients or clients who may become pregnant.

Choice A is wrong because the family history of cancer is not relevant to the teratogenic effects of the medications.

Choice C is wrong because the previous experience of severe side effects from a drug is not related to the risk of fetal harm.

Choice D is wrong because the allergy to any prescription or non-prescription drugs is not specific to the teratogenic potential of the medications.

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Correct Answer is C

Explanation

A two-hour postprandial glucose test is done to check your blood sugar level two hours after you eat a meal.

This test helps to diagnose diabetes or monitor its treatment. A normal blood sugar level for this test is less than 140 mg/dL.

Choice A is wrong because fasting means not eating for at least eight hours before the test. This is done for a fasting blood glucose test, not a postprandial one.

Choice B is wrong because before breakfast means before you eat anything in the morning. This is also done for a fasting blood glucose test, not a postprandial one.

Choice D is wrong because before glucose is consumed means before you drink a sugary liquid for a glucose tolerance test. This test measures how your body handles glucose after drinking it, not after eating a meal.

A. Monitoring the client’s respiratory rate and effort. B. Warning the client to lie still to prevent a headache. C. Determining whether chest pain has been relieved. D. Verifying that the sublingual tablet produced a tingling sensation.

Correct Answer is C

Explanation

Determining whether chest pain has been relieved. This is because nitroglycerin is a medication that is used to treat chest pain caused by cardiac origin or acute pulmonary edema. The main action of nitroglycerin is to relax and dilate the blood vessels, which reduces the workload of the heart and improves blood flow to the heart muscle.

Therefore, the most important nursing action after administering nitroglycerin sublingually is to assess if the chest pain has subsided or not.

Choice A is wrong because monitoring the client’s respiratory rate and effort is not the most important action after giving nitroglycerin. Although nitroglycerin can cause hypotension and bradycardia, which may affect the respiratory status, these are side effects that can be managed and are not life-threatening as chest pain.

Choice B is wrong because warning the client to lie still to prevent a headache is not a priority after giving nitroglycerin. Nitroglycerin can cause headache as a side effect, but this can be treated with analgesics and does not require the client to lie still. Moreover, lying still may increase the risk of venous thromboembolism in a client with peripheral vascular disease.

Choice D is wrong because verifying that the sublingual tablet produced a tingling sensation is not essential after giving nitroglycerin.

Although some sublingual tablets may produce a tingling sensation, this is not a reliable indicator of the drug’s effectiveness

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A client is to receive medications that are highly teratogenic. What question should the nurse ask the client to support safe medication administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is to have a two-hour post-prandial blood glucose drawn. Which statement should the nurse make to inform the client when the two-hour test will be performed?

Correct Answer is C

Explanation

Which nursing action is most important after administering nitroglycerin sublingually?

Correct Answer is C

Explanation

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A client is to receive medications that are highly teratogenic.
What question should the nurse ask the client to support safe medication administration?