A female patient taking an ACE inhibitor learns that she is pregnant. What will the nurse tell this patient?
The fetus must be monitored closely while the patient is taking this drug.
The patient’s prescriber probably will change her medication to an ARB.
The patient should stop taking the medication and contact her provider immediately.
Assuming continue the medication with dose adjustment.
The Correct Answer is C
Choice A reason: ACE inhibitors are teratogenic, risking fetal harm, so monitoring while continuing is unsafe. Stopping the drug is critical, making this incorrect for safe pregnancy management.
Choice B reason: ARBs are also contraindicated in pregnancy due to similar teratogenic risks. Switching to an ARB is not safe, so this is incorrect compared to stopping the medication.
Choice C reason: ACE inhibitors can cause fetal abnormalities, so the patient must stop the medication and contact her provider immediately for safer alternatives. This is the correct action.
Choice D reason: Continuing ACE inhibitors, even adjusted, is dangerous in pregnancy due to teratogenicity. Immediate cessation and provider consultation are required, making this incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: pH 7.32 (low, acidic), PaCO2 <37 mm Hg (normal/low), and HCO3- <24 mEq/L (low) indicate metabolic acidosis, as low bicarbonate causes acidosis without respiratory compensation (PaCO2 normal). This matches uncompensated metabolic acidosis, often due to conditions like lactic acidosis or diabetic ketoacidosis, making this the correct choice.
Choice B reason: Uncompensated respiratory acidosis involves elevated PaCO2 (>45 mm Hg) causing low pH, with normal HCO3-. Here, PaCO2 is <37 mm Hg (normal/low) and HCO3- is low, pointing to a metabolic, not respiratory, cause of acidosis, making this choice incorrect for the given ABG values.
Choice C reason: Partially compensated respiratory acidosis requires elevated PaCO2 and increased HCO3- as compensation. Here, PaCO2 is <37 mm Hg (normal/low) and HCO3- is low, ruling out respiratory acidosis. The low pH and low HCO3- indicate a metabolic cause, making this choice incorrect.
Choice D reason: Partially compensated metabolic acidosis involves low pH, low HCO3-, and decreased PaCO2 as respiratory compensation. While HCO3- is low, PaCO2 is not significantly reduced to indicate compensation (given as <37 mm Hg, likely normal). This suggests uncompensated metabolic acidosis, making this choice less accurate than A.
Correct Answer is A
Explanation
Choice A reason: Inhaled glucocorticoids are used daily in COPD to reduce inflammation and prevent exacerbations. This shows correct understanding, making it the correct choice.
Choice B reason: Glucocorticoids are for daily maintenance, not as-needed use, which is for beta2-agonists. This misunderstanding is incorrect for the medication regimen.
Choice C reason: Beta2-agonists are used as needed for symptom relief, not daily, in stable COPD. This is incorrect, as daily use is for maintenance drugs.
Choice D reason: Beta2-agonists relax airways, not suppress inflammation; that’s the glucocorticoid’s role. This incorrect mechanism shows misunderstanding, so it’s incorrect.
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