A nurse is caring for a client who is currently 34-weeks gestation. Which of the following medications would be avoided due to its category X classification?

morphine

famotidine (Pepcid)

misoprostol (Cytotec)

ibuprofen (Advil)

Answer and Explanation

The Correct Answer is C

A. Morphine is a category C medication, which means it may be used if the benefits outweigh the risks; it is not contraindicated in pregnancy.
B. Famotidine (Pepcid) is also a category B medication and is generally considered safe to use during pregnancy.
C. Misoprostol (Cytotec) is classified as category X due to its association with causing uterine contractions and the potential for fetal harm; thus, it should be avoided during pregnancy.
D. Ibuprofen (Advil) is a category C medication, and while it is not typically recommended in the third trimester, it is not classified as category X.

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Correct Answer is C

Explanation

A. Benztropine (Cogentin) is an anticholinergic used primarily for Parkinson's disease and does not have an effect on seizure activity.
B. Phenytoin (Dilantin) is an antiepileptic medication, but it is not typically used as a rescue medication for immediate cessation of seizures in status epilepticus; it is used for long-term management.
C. Diazepam (Valium) is a benzodiazepine that acts quickly to stop seizures and is commonly used in acute situations, including status epilepticus, due to its rapid onset of action.
D. Ethosuximide (Zarontin) is primarily used for absence seizures and is not indicated for status epilepticus.

A. risperidone (Risperdal) B. haloperidol (Haldol) C. paroxetine (Paxil) D. clozapine (Clozaril)

Correct Answer is C

Explanation

A. Risperidone is an atypical antipsychotic primarily used to treat schizophrenia and bipolar disorder, not first-line treatment for depression.
B. Haloperidol is a typical antipsychotic used mainly for acute psychosis and agitation, not for treating depression.
C. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that is widely recognized as a first-line treatment for depression due to its efficacy and relatively favorable side effect profile.
D. Clozapine is an atypical antipsychotic reserved for treatment-resistant schizophrenia and is not indicated for the treatment of depression.

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A nurse is caring for a client who is currently 34-weeks gestation. Which of the following medications would be avoided due to its category X classification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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