A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

Antihistamines are safe to take during breastfeeding, but they cause spina bifida in pregnancy.

Antihistamines should be avoided in pregnancy unless necessary.

The margin of safety for antihistamines is clearly understood for pregnant clients.

Second-generation antihistamines are completely safe to take during the first trimester.

Answer and Explanation

The Correct Answer is B

a) Antihistamines are generally considered safe during breastfeeding, but this statement does not address the safety during pregnancy.

b) The general recommendation is to avoid unnecessary medication use during pregnancy, including antihistamines, especially during the first trimester.

c) The margin of safety for antihistamines is not universally understood, and caution is advised during pregnancy.

d) While second-generation antihistamines are considered safer than first-generation ones, the safety of any medication during pregnancy should be discussed with a healthcare provider.

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Correct Answer is C

Explanation

a) Requesting central venous access is not the first-line response to signs of redness, pain, and irritation at the current infusion site. It's essential to address the immediate issue first.

b) Continuing the infusion while elevating the arm may exacerbate the symptoms and is not an appropriate action when there are signs of localized irritation.

c) Stopping the infusion and selecting an alternate intravenous site is the correct action to prevent further complications and assess the cause of the irritation.

d) Applying warm packs and infusing the medication at a slower rate may not be sufficient to address the observed redness and pain, and an alternate site should be considered.

A. Oral medications are contraindicated in infants. B. Breastfeeding infants are more likely to develop toxicity when given lipid-soluble drugs. C. Immaturity of renal function in infancy causes infants to excrete drugs less efficiently. D. Infants are more sensitive to medications that act on the central nervous system. E. Infants have immature livers, which slow drug metabolism.

Correct Answer is ["C","D","E"]

Explanation

a) This is false because oral medications can be given to infants if they are in liquid form, have a suitable dose, and are administered with a dropper or syringe. However, oral medications should be given with caution and only when prescribed by a doctor.

b) This is false because lipid-soluble drugs are not easily passed into breast milk and do not affect breastfeeding infants. However, some drugs can be harmful to breastfeeding infants and should be avoided or used with caution by nursing mothers.

c) Immaturity of renal function in infancy affects drug excretion, potentially leading to prolonged drug effects and increased risk of toxicity.

d) Infants are more sensitive to medications that act on the central nervous system, and dose adjustments may be needed to prevent adverse effects.

e) Immature liver function in infants can slow down drug metabolism and elimination, leading to a higher risk of drug accumulation and toxicity.

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A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?

Correct Answer is C

Explanation

When administering medications to infants, it is essential to remember which of the following? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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