A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.
How should the nurse respond?

"You may be at higher risk for having a spontaneous miscarriage.”.

"You may have an increased chance of having preeclampsia.”.

"This medication will have no effect on your unborn child.”.

"You may experience postpartum hemorrhaging after delivery.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Misoprostol is a synthetic prostaglandin E1 (PGE1) analog that can induce uterine contractions, increasing the risk of a spontaneous miscarriage, particularly in early pregnancy.

Choice B rationale

Misoprostol is not known to increase the risk of preeclampsia. Preeclampsia involves high blood pressure and potential damage to other organ systems, typically appearing after 20 weeks of pregnancy.

Choice C rationale

Misoprostol does have an effect on the unborn child due to its ability to cause uterine contractions and cervical ripening, potentially leading to miscarriage.

Choice D rationale

Misoprostol is not associated with an increased risk of postpartum hemorrhaging after delivery. It is often used to manage postpartum hemorrhage by promoting uterine contractions.

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Correct Answer is B

Explanation

Choice B rationale

Informing the anesthesia care provider is the priority action. Ingesting coffee within a few hours before surgery can affect anesthesia management, and the anesthesia team needs to be aware of any potential complications.

Choice A rationale

Starting the IV is important but not the priority in this scenario. The anesthesia care provider needs to be informed first.

Choice C rationale

Contacting the obstetrician is also important but comes after informing the anesthesia care provider.

Choice D rationale

Ensuring preoperative lab results are available is essential, but the first step should be to inform the anesthesia care provider about the coffee intake.

A. Latanoprost eye drops. B. Erythromycin ointment. C. Tetracaine eye drops. D. Neomycin ointment.

Correct Answer is B

Explanation

Choice A rationale

Latanoprost eye drops are used to reduce intraocular pressure in glaucoma patients and are not relevant for a newborn exposed to Neisseria gonorrhoeae.

Choice B rationale

Erythromycin ointment is the correct medication to administer to a newborn exposed to Neisseria gonorrhoeae. It is used to prevent ophthalmia neonatorum, an eye infection caused by the bacteria. Administering erythromycin ointment is essential to protect the newborn's eyes from potential blindness or severe infection.

Choice C rationale

Tetracaine eye drops are a topical anesthetic used to numb the eyes during procedures and are not indicated for preventing neonatal eye infections caused by Neisseria gonorrhoeae.

Choice D rationale

Neomycin ointment is an antibiotic used for treating bacterial infections, but it is not the standard treatment for preventing ophthalmia neonatorum in newborns exposed to Neisseria gonorrhoeae. Erythromycin ointment is the recommended prophylactic treatment. .

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A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache.Which action should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.
How should the nurse respond?