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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Drug-receptor binding either activates (agonists) or inhibits (antagonists) receptor activity, altering physiological responses. This is the primary effect, making it the correct choice for receptor interaction.

Choice B reason: Drugs do not permanently alter receptors non-responsive; they modulate activity temporarily. Non-responsiveness may occur with chronic use, but it’s not the primary effect, so this is incorrect.

Choice C reason: Preventing receptor action is specific to antagonists, not all drugs. drugs bind to receptors. Binding broadly affects activity, so this is incorrect for the general effect of receptor binding.

Choice D reason: Drugs do not give receptors new functions; they enhance or block existing ones. ones. Activity modulation is the key effect, making this incorrect for what occurs during binding.

A. “The glucocorticoid is used as prophylaxis to prevent exacerbations.” B. “I should use the glucocorticoid as needed when symptoms flare.” C. “I will need to use the beta2-adrenergic agonist drug daily.” D. “The beta2-adrenergic agonist suppresses the synthesis of inflammatory mediators.”

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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A female patient taking an ACE inhibitor learns that she is pregnant. What will the nurse tell this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What occurs when a drug binds to a receptor in the body?

Correct Answer is A

Explanation

A patient with stable COPD receives prescriptions for an inhaled glucocorticoid and an inhaled beta2-adrenergic agonist. Which statement by the patient indicates an understanding of this medication regimen?

Correct Answer is A

Explanation

Using a stepwise approach to managing asthma, a nurse teaches a patient who is at step 1 that their albuterol MDI (Proventil) is used:

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A patient is to receive a beta agonist. Before administration of this medication, which assessment finding would most concern the nurse?

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Name the imbalance using the following Arterial Blood Gas (ABG) values: pH 7.48, PaCO2 44, HCO3- 29

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