An 18-year-old pregnant adolescent in her third trimester has dyspepsia despite previous treatment with Maalox. A safe choice for the nurse practitioner to prescribe is:
ranitidine HC (Zantac).
sodium bicarbonate.
sodium citrate and citric acid (Bicitra).
aluminum, magnesium and simethicone (Gelusil).
The Correct Answer is A
Rationale:
A. Ranitidine HCl (Zantac), a histamine-2 receptor antagonist, is considered safe for use in pregnancy for treating dyspepsia and gastroesophageal reflux, particularly when antacids alone are insufficient. It reduces gastric acid production without significant risk to the fetus.
B. Sodium bicarbonate is generally avoided in pregnancy due to the risk of systemic alkalosis and fluid overload.
C. Sodium citrate and citric acid (Bicitra) are typically used to alkalinize urine or prevent aspiration during anesthesia, not for routine dyspepsia management in pregnancy.
D. Aluminum, magnesium, and simethicone (Gelusil) are generally safe in moderation, but they are less effective than H2 blockers for persistent symptoms and may cause constipation or diarrhea depending on the formulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Abdominal striae are a probable or later sign of pregnancy and are not useful for early suspicion.
B. A positive pregnancy test is a positive sign, confirming the presence of human chorionic gonadotropin (hCG), not merely a presumptive indication.
C. Breast tenderness is a presumptive sign of pregnancy because it is based on subjective symptoms reported by the adolescent and may be caused by other conditions as well.
D. Goodell’s sign (softening of the cervix) is considered a probable sign of pregnancy, as it is an objective finding but not definitive.
Correct Answer is B
Explanation
Rationale:
A. A chordee refers to a downward curvature of the penis, often associated with hypospadias, but it is not defined by the location of the urethral opening.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) surface of the penis rather than at the tip of the glans. Early identification is important for surgical planning.
C. Epispadias is characterized by a urethral opening on the dorsal (top) surface of the penis.
D. Cryptorchidism refers to undescended testes and does not affect the urethral meatus.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.