A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?

"Oral acyclovir may be used during pregnancy."

"Intravenous antiviral agents will be used if an outbreak occurs."

"Topical acyclovir must be used to control outbreaks."

"Antiviral medications are not safe during pregnancy."

Answer and Explanation

The Correct Answer is A

a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.

b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.

c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.

d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.

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Correct Answer is B

Explanation

a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.

b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.

c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.

d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.

A. Gradually reduce prescribed dose if seizures do not occur for one month B. Expect green urine due to medication metabolites C. Brush after every meal and floss teeth daily D. Instill mineral oil into both ears once a week

Correct Answer is C

Explanation

A) Gradually reducing the prescribed dose of an antiepileptic like phenytoin without consulting the healthcare provider can lead to increased seizure activity. This is not a recommended self care measure.

B) Expecting green urine is not associated with phenytoin. This statement is not accurate.

C) Phenytoin can cause gingival hyperplasia and other oral health issues. Emphasizing good oral hygiene practices, such as brushing after every meal and flossing daily, is crucial.

D) Instilling mineral oil into both ears is not a self-care measure related to phenytoin.

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A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

Correct Answer is B

Explanation

Which of these self-care measures should be emphasized in client education regarding phenytoin?

Correct Answer is C

Explanation

The nurse is scheduled to administer lispro insulin per sliding scale before meals. The serum blood glucose reading before lunch is 152 mg/dl. Given the following sliding scale, how much insulin lispro should be given before lunch? (Select the appropriate parameter.)

The nurse receives an order to give atropine 300mcg SQ now. The medication is available in 1mg/mL vial. How many mL should the nurse administer? (Record the answer to the tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.)

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