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. Stress incontinence with feeling of low abdominal pressure.

Cystocele and rectocele repairs are often performed to address pelvic organ prolapse, which can lead to symptoms such as stress incontinence. Stress incontinence is characterized by the leakage of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, laughing, or lifting. The feeling of low abdominal pressure is consistent with the symptoms experienced by women with cystocele and rectocele, as the prolapse of pelvic organs can cause sensations of pressure or fullness in the lower abdomen.

B. Menstrual irregularities and hirsutism on the chin:

These symptoms are more indicative of hormonal imbalances, such as polycystic ovary syndrome (PCOS), which is characterized by irregular menstrual cycles, hirsutism (excessive hair growth), and other symptoms related to androgen excess. These symptoms are not typically associated with cystocele and rectocele repairs or the number of children a woman has.

C. Heavy leukorrhea with vulvar pruritus:

Leukorrhea refers to vaginal discharge, and vulvar pruritus refers to itching of the external genitalia. These symptoms are more suggestive of vaginal infections or other gynecological conditions unrelated to cystocele and rectocele repairs or the number of children a woman has.

D. Sporadic vaginal bleeding accompanied by chronic pelvic pain:

Sporadic vaginal bleeding and chronic pelvic pain may be indicative of various gynecological conditions, such as uterine fibroids, endometriosis, or cervical dysplasia. However, they are not typically associated with cystocele and rectocele repairs or the number of children a woman has.

A. mammogram B. hormone receptor status C. fine-needle aspiration D. genetic testing for BRCA

Correct Answer is A

Explanation

A. Mammogram

A mammogram is typically the next step in the diagnostic process when a breast lump is detected during a clinical breast examination. Mammography allows for further evaluation of the lump and surrounding breast tissue to determine its characteristics, such as size, shape, and density. It is an important tool for detecting breast abnormalities, including masses and calcifications, which can help in diagnosing breast cancer.

B. Hormone receptor status

While hormone receptor status testing may be part of the diagnostic workup for breast cancer, it is usually not the immediate next step after discovering a breast lump during a clinical examination. Hormone receptor status testing is typically performed after a confirmed diagnosis of breast cancer to guide treatment decisions, such as the use of hormone therapy.

C. Fine-needle aspiration

Fine-needle aspiration (FNA) may be used in conjunction with other diagnostic tests, such as mammography or ultrasound, to further evaluate a breast lump. However, it is not typically the first step in the diagnostic process, especially if a lump is found during a clinical breast examination. FNA involves using a thin needle to extract cells or fluid from the lump for examination under a microscope to determine if it is benign or malignant.

D. Genetic testing for BRCA

Genetic testing for BRCA mutations is typically not the immediate next step after finding a breast lump during a clinical examination. Genetic testing for BRCA mutations is usually recommended for individuals with a strong family history of breast or ovarian cancer or those who meet specific criteria based on personal or family history. It is not typically the initial diagnostic step in evaluating a breast lump.

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

A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the nurse expect to find?

Correct Answer is A

Explanation

During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman's left breast. The nurse notifies the primary care provider. What would the nurse anticipate the care provider to prescribe next?

Correct Answer is A

Explanation

A woman with a history of asthma comes to the clinic for evaluation for pregnancy. The woman's pregnancy test is positive. When reviewing the woman's medication therapy regimen for asthma, which medication would the nurse identify as problematic for the woman now that she is pregnant?

A nurse is preparing a teaching program for a group of pregnant women about preventing infections during pregnancy. When describing measures for preventing cytomegalovirus infection, which measure would the nurse include as a priority?

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 reviews the CD4 cell count of a client who is HIV-positive. A result less than which count would indicate to the nurse that the client has AIDS?

After teaching a local woman's group about incontinence, the nurse determines that the teaching was successful when the group identifies which characteristic of stress incontinence?

A woman who has undergone a right-sided modified-radical mastectomy returns from surgery. Which nursing intervention would be most appropriate for the nurse to include in the client's plan of care at this time?

A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? (Select All that Apply.)