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:

Being sleepy but arousing when her name is called is a common side effect of morphine, which is a potent opioid analgesic. Morphine can cause drowsiness and sedation, but this is not necessarily an adverse effect unless it progresses to a state where the patient cannot be easily aroused. Therefore, while this is a side effect, it is not as concerning as respiratory depression.

Choice B reason:

A respiratory rate of 8/min is an adverse effect of morphine. Opioids like morphine can depress the respiratory center in the brain, leading to a decreased respiratory rate. Normal respiratory rates for adults are typically between 12 and 20 breaths per minute. A rate of 8 breaths per minute indicates significant respiratory depression, which can be life-threatening and requires immediate intervention.

Choice C reason:

A pain level of 6 on a scale from 0 to 10 indicates that the morphine has not fully alleviated the client’s pain. While this is important to address, it is not an adverse effect of the medication. The primary concern with morphine administration is monitoring for serious side effects like respiratory depression.

A. Provide a list of the client’s current medications during the change of shift report. B. Do not perform reconciliation for a client at discharge from a health care facility. C. Provide a list of the client’s current medications during admission to a health care facility. D. Include only prescription medications in the medication reconciliation report.

Correct Answer is C

Explanation

Choice A reason:

Providing a list of the client’s current medications during the change of shift report is important for continuity of care, but it is not the primary focus of medication reconciliation. Medication reconciliation aims to ensure accuracy of the medication list at key transition points, such as admission, transfer, and discharge.

Choice B reason:

Not performing reconciliation for a client at discharge from a health care facility is incorrect. Medication reconciliation is crucial at discharge to ensure that the patient leaves with an accurate and complete list of medications, which helps prevent medication errors and adverse drug events.

Choice C reason:

Providing a list of the client’s current medications during admission to a health care facility is a key component of medication reconciliation. This process involves comparing the patient’s current medications with the new medications ordered upon admission to identify and resolve any discrepancies. This helps ensure that the patient receives the correct medications throughout their stay.

Choice D reason:

Including only prescription medications in the medication reconciliation report is insufficient. The reconciliation process should include all medications the patient is taking, including over-the-counter drugs, supplements, and herbal remedies. This comprehensive approach helps identify potential interactions and ensures safe medication management.

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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

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