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 A

Explanation

A. Ferrous sulfate can stain the teeth; therefore, using a straw can help minimize this risk when taken in liquid form.
B. Iron absorption is actually reduced when taken with milk or dairy products due to calcium binding with iron, so this statement is incorrect.
C. Iron supplements are often associated with constipation, and taking them at night may not prevent this issue; in fact, taking them during the day with plenty of fluids and fiber is usually recommended.
D. Antacids can interfere with the absorption of iron, so it is not advisable to take them together.

A. Hypertension B. Dysfunctional uterine bleeding C. Thromboembolism D. Osteoporosis

Correct Answer is C

Explanation

A. While hormonal contraceptives can affect blood pressure, the risk of significant hypertension is less immediate than thromboembolism.
B. Dysfunctional uterine bleeding can occur but is generally not as serious as thromboembolism and may resolve with continued use.
C. Combination birth control pills increase the risk of thromboembolic events, such as deep vein thrombosis (DVT) and pulmonary embolism, making it essential to monitor for signs of these complications.
D. Osteoporosis is a long-term concern but is not an acute effect of combination birth control pills; monitoring for thromboembolism is more critical.

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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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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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