A nurse is caring for a client and her newborn immediately after delivery. The client's medication history includes prenatal vitamins throughout pregnancy, one or two glasses of wine before knowing she was pregnant, occasional use of an albuterol inhaler in her last trimester, and intravenous morphine during labor. What is the nurse's most appropriate action?

Prepare the client for motor delays in the infant caused by alcohol use.

Monitor the infant's respiration and prepare to administer naloxone if needed.

Note a high-pitched cry and irritability in the infant and observe for seizures.

Administer opioids to the infant to prevent withdrawal syndrome.

Answer and Explanation

The Correct Answer is B

A) Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.

B) Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.

C) A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.

D) Administering opioids to the infant is not appropriate and could worsen any respiratory depression.

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Correct Answer is B

Explanation

A) Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.

B) Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.

C) A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.

D) Administering opioids to the infant is not appropriate and could worsen any respiratory depression.

A. A Consume extra fluids while taking the ciprofloxacin to prevent hypercalciuria. B. B Take the calcium either six hours before or two hours after taking the ciprofloxacin. C. C Stop taking the calcium supplements while taking the ciprofloxacin. D. D Take the two medications together to increase the absorption of both.

Correct Answer is B

Explanation

A) Consuming extra fluids to prevent hypercalciuria is not directly related to the interaction between calcium supplements and ciprofloxacin.

B) Calcium interferes with the absorption of ciprofloxacin, so they should be taken at least six hours apart to avoid decreased effectiveness of the antibiotic.

C) Stopping calcium supplements may not be necessary, but proper timing is crucial.

D) Taking the medications together can reduce the absorption of both, so they should be spaced apart.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client who is taking calcium supplements receives a prescription for ciprofloxacin for a respiratory infection. What must the nurse include in client teaching?

Correct Answer is B

Explanation

A client who has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?

A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?

A client with cancer has been taking an opioid analgesic four times daily for chronic pain and reports needing increased doses for pain. Which of the following is a proper response?

What should the nurse advise a client on spironolactone regarding necessary self-care?

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Which variables can help determine the client's response to a drug? (Select all that apply.)

The provider has ordered furosemide 10 mg PO stat. Furosemide is available in 20 mg/tablet. How many tablet(s) 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.)