A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?

Naproxen

Aspirin

Ibuprofen

Acetaminophen

Answer and Explanation

The Correct Answer is D

Choice A reason:

Naproxen is classified as a pregnancy category B medication during the first and second trimesters but becomes category D in the third trimester due to potential risks to the fetus. It is generally advised to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen during pregnancy unless specifically recommended by a healthcare provider.

Choice B reason:

Aspirin is not considered safe during pregnancy, especially in higher doses. It is classified as category D in the third trimester due to risks such as premature closure of the ductus arteriosus and potential bleeding complications. Low-dose aspirin may be prescribed in specific cases, but it is not generally recommended as an over-the-counter option for pregnant women.

Choice C reason:

Ibuprofen, like naproxen, is an NSAID and is classified as category B during the first and second trimesters but category D in the third trimester. It is generally advised to avoid ibuprofen during pregnancy due to potential risks to the fetus, particularly in the later stages of pregnancy.

Choice D reason:

Acetaminophen is classified as a pregnancy category B medication and is considered safe for use during all trimesters of pregnancy. It is the preferred over-the-counter analgesic and antipyretic for pregnant women due to its safety profile. Acetaminophen does not carry the same risks as NSAIDs and is widely used to manage pain and fever during pregnancy.

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Correct Answer is B

Explanation

Choice A reason: Testing new nurses for exposure to tuberculosis is an example of secondary prevention. Secondary prevention aims to detect and treat diseases early in their course to prevent progression. Testing for tuberculosis exposure helps identify the disease early so that treatment can begin promptly.

Choice B reason: Providing treatment for clients who have chronic obstructive pulmonary disease is an example of tertiary prevention. Tertiary prevention focuses on managing and improving the quality of life for individuals with chronic diseases. It aims to reduce the impact of the disease and prevent complications.

Choice C reason: Performing screening for sexually transmitted infections is an example of secondary prevention. Screening helps detect infections early, allowing for timely treatment and reducing the spread of the disease.

Choice D reason: Administering influenza immunizations at a local health fair is an example of primary prevention. Primary prevention aims to prevent diseases before they occur by reducing risk factors and promoting health. Immunizations help prevent the onset of influenza.

A. There are rare, occasional occurrences of smallpox. B. Smallpox lesions appear in various stages of healing. C. Unlike chickenpox, the vesicles of smallpox are more abundant on the face. D. Vaccination against smallpox provides lifelong immunity.

Correct Answer is D

Explanation

Choice A reason: There are no current occurrences of smallpox. Smallpox was declared eradicated in 1980 by the World Health Organization (WHO) after a successful global vaccination campaign. Therefore, the statement that there are rare, occasional occurrences of smallpox is incorrect.

Choice B reason: Smallpox lesions do not appear in various stages of healing at the same time. Unlike chickenpox, where lesions can be in different stages of healing simultaneously, smallpox lesions typically develop and progress through stages uniformly. This means that all lesions are generally at the same stage of development at any given time.

Choice C reason: The vesicles of smallpox are indeed more abundant on the face and extremities compared to the trunk. This distribution pattern is a distinguishing feature of smallpox, as opposed to chickenpox, which tends to have a more central distribution with more lesions on the trunk.

Choice D reason: Vaccination against smallpox provides lifelong immunity. The smallpox vaccine, which uses a live virus related to smallpox called vaccinia, has been shown to provide long-lasting immunity. Studies have indicated that immunity can last for decades, and even those vaccinated many years ago retain some level of protection.

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A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?

Correct Answer is B

Explanation

A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?

Correct Answer is D

Explanation

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