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) Allopurinol inhibits the synthesis of uric acid, preventing its formation.

B) Colchicine is typically used for gout flares and reduces inflammation but is not usually taken concurrently with probenecid and allopurinol. NSAIDs or corticosteroids are often used for pain control during acute attacks.

C) Colchicine is known for its anti-inflammatory properties but does not prevent uric acid synthesis or facilitate its elimination.

D) Probenecid increases the excretion of uric acid in the urine.

A. The drug will reduce redness and itching but not edema. B. The client should report nausea while taking the medication. C. The client should avoid drinking alcohol while taking the drug. D. This medication is not likely to cause sedation.

Correct Answer is C

Explanation

A) Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.

B) While nausea can be a side effect, it is not the primary concern with hydroxyzine.

C) Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.

D) Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?

Correct Answer is B

Explanation

The nurse will include which information when teaching a client about hydroxyzine?

Correct Answer is C

Explanation

A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?

A client arrives in the emergency department with localized swelling of the lips and tongue. The client's medication list includes the following medications. Which of these medications does the nurse anticipate the provider discontinuing?

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?

Which of these findings, from a client taking steroids, should the nurse report immediately?

A client who reports routine consumption of more than three alcoholic beverages per day asks about taking acetaminophen when needed for occasional recurrent pain. What will the nurse tell the client?

A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

A nurse is teaching a client who has asthma the appropriate use of inhaled fluticasone. What advice should the nurse give to help the client avoid complications with the use of inhaled steroids?

A client receiving a cephalosporin has passed six distinct-smelling, unformed stools in the first 6 hours of the nurse's shift. What is the nurse's best action?