A nurse is obtaining a medication history from a pregnant client with a history of systemic lupus erythematosus (SLE). Which medication(s) would the nurse expect the woman to report to be currently using? Select all that apply.

Ibuprofen

Prednisone

Hydroxychloroquine

Leflunomide

Methotrexate

Answer and Explanation

Correct Answer : B,C

A. Ibuprofen:

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief and inflammation. However, its use during pregnancy, especially in the third trimester, is generally not recommended due to the potential risks of fetal harm and complications, such as constriction of the fetal ductus arteriosus and premature closure of the fetal ductus arteriosus. Therefore, its use would be concerning in a pregnant woman, particularly one with SLE.

B. Prednisone:

Prednisone is a corticosteroid medication often used to manage inflammation and autoimmune conditions like SLE. While corticosteroids are generally considered safe for use during pregnancy, they may be prescribed cautiously and in the lowest effective dose to minimize potential risks to the fetus. Pregnant women with SLE may be prescribed prednisone to manage their condition.

C. Hydroxychloroquine:

Hydroxychloroquine is an antimalarial medication that is also used to manage autoimmune conditions like SLE. It is considered relatively safe for use during pregnancy and is often continued in pregnant women with SLE to control disease activity and reduce the risk of flares.

D. Leflunomide:

Leflunomide is a disease-modifying antirheumatic drug (DMARD) used to treat autoimmune conditions such as rheumatoid arthritis. Its use is contraindicated during pregnancy due to its potential teratogenic effects, which can cause serious birth defects. Pregnant women should discontinue leflunomide before attempting to conceive or switch to alternative medications.

E. Methotrexate:

Methotrexate is another DMARD used to treat autoimmune conditions, but it is contraindicated during pregnancy due to its high risk of causing birth defects and pregnancy loss. It can interfere with fetal development and should not be used by pregnant women or women planning pregnancy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Candidiasis:

Candidiasis is caused by an overgrowth of the fungus Candida albicans in the vagina. It typically presents with symptoms such as thick, white vaginal discharge (resembling cottage cheese), itching, and discomfort during sexual intercourse (dyspareunia). This option is the most likely diagnosis based on the client's symptoms.

B. Genital herpes simplex:

Genital herpes simplex is caused by the herpes simplex virus (HSV). It presents with symptoms such as painful, fluid-filled blisters or sores in the genital area. While genital herpes can cause vaginal discharge, the discharge is typically clear or cloudy, not thick and white as described in the scenario.

C. Trichomoniasis:

Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. It commonly presents with symptoms such as a frothy, yellow-green vaginal discharge, itching, and discomfort during urination or sexual intercourse. The discharge is typically not described as thick and white.

D. Bacterial vaginosis:

Bacterial vaginosis results from an imbalance of bacteria in the vagina, with a decrease in beneficial bacteria and an overgrowth of harmful bacteria. It presents with symptoms such as a thin, grayish-white vaginal discharge with a fishy odor. While bacterial vaginosis can cause vaginal discomfort, the discharge is not typically described as thick and white.

A. Void every hour while awake. B. Take a laxative every night. C. Limit the intake of fluid. D. Perform Kegel exercises daily.

Correct Answer is D

Explanation

A. Void every hour while awake:

Voiding every hour while awake may help prevent urinary retention and reduce the risk of overdistension of the bladder, particularly in the immediate postoperative period or in individuals with urinary issues. However, this action alone does not specifically target the muscles involved in urinary sphincter control. While it may assist in maintaining bladder health and preventing complications, it does not directly address regaining control of the urinary sphincter after bladder surgery.

B. Take a laxative every night:

Laxatives are medications used to relieve constipation by promoting bowel movements. However, taking a laxative every night is not relevant to regaining control of the urinary sphincter after bladder surgery. While constipation can indirectly affect bladder function by causing pressure on the bladder, it is not a direct method for strengthening the muscles involved in urinary sphincter control.

C. Limit the intake of fluid:

Limiting fluid intake may be recommended in certain situations, such as managing urinary frequency or urgency, or if there are concerns about bladder overactivity. However, restricting fluid intake is not typically advised as a method for regaining control of the urinary sphincter after bladder surgery. In fact, adequate hydration is generally important for overall health and urinary function. Limiting fluid intake may lead to dehydration and other health complications.

D. Perform Kegel exercises daily:

Kegel exercises are specifically designed to strengthen the pelvic floor muscles, including those that control the urinary sphincter. By regularly performing Kegel exercises, individuals can improve the strength and coordination of these muscles, which may aid in regaining control of the urinary sphincter after bladder surgery or in managing urinary incontinence. Therefore, this action is the most appropriate choice for addressing the issue of urinary sphincter control in the context of bladder surgery.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is obtaining a medication history from a pregnant client with a history of systemic lupus erythematosus (SLE). Which medication(s) would the nurse expect the woman to report to be currently using? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

Correct Answer is A

Explanation

To assist the woman in regaining control of the urinary sphincter after bladder surgery, the nurse should teach the client to perform which action?

Correct Answer is D

Explanation

During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.

A pregnant woman is diagnosed with iron-deficiency anemia and is prescribed an iron supplement. After teaching her about her prescribed iron supplement, which statement indicates successful teaching?

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

A nurse is obtaining a medication history from a pregnant client with a history of systemic lupus erythematosus (SLE). Which medication(s) would the nurse expect the woman to report to be currently using? Select all that apply.

A woman comes to the clinic for a routine checkup. After obtaining the client's history, the nurse identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus?

A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method?

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding?

A nurse is listening to a client who is a victim of intimate partner violence. The client is describing how events would unfold with the partner. The nurse interprets the client's statements and identifies which action as characteristic of the second phase of the cycle of violence?