The nurse is administering medication to a pregnant patient. After looking up the medication, the nurse determines the medication is categorized as a Pregnancy Risk Category A. What is true of Pregnancy Risk Category A drugs?

Benefit may outweigh the risk.

Studies show fetal risk.

Contraindicated in pregnant women.

Fetal harm is unlikely.

Answer and Explanation

The Correct Answer is D

A: The statement “Benefit may outweigh the risk” is more applicable to Pregnancy Risk Category D or X drugs, where there is evidence of risk but potential benefits may justify use in certain situations.

B: Studies showing fetal risk are associated with Pregnancy Risk Category D or X drugs. Category A drugs have not shown fetal risk in controlled studies.

C: Drugs that are contraindicated in pregnant women fall under Pregnancy Risk Category X, where the risks clearly outweigh any potential benefits.

D: Fetal harm is unlikely for Pregnancy Risk Category A drugs. These drugs have been tested in controlled studies and have not shown any risk to the fetus, making them safe for use during pregnancy.

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Correct Answer is C

Explanation

A: Requesting the risk manager to obtain consent for HIV testing from the client is important but should not be the first action. Immediate steps to reduce the risk of infection are more urgent.

B: Completing an incident report is necessary for documentation and follow-up but is not the immediate priority following a needle stick injury.

C: Washing the site of injury with soap and water is the first and most immediate action. This helps to reduce the risk of infection by removing any potential contaminants from the wound.

D: Consenting to post-exposure treatment with antiretroviral medications is important if there is a risk of HIV exposure. However, this should follow the initial step of cleaning the wound.

A. Have another nurse witness the wasted medication. B. Return the wasted medication to the medication dispenser. C. Place the wasted portion of the medication in the sharps container. D. Exit the medication room to call the health care provider to request an order that matches the dosages.

Correct Answer is A

Explanation

A: Having another nurse witness the wasted medication is the correct procedure. This ensures accountability and compliance with regulations regarding the handling and disposal of controlled substances.

B: Returning the wasted medication to the medication dispenser is not appropriate. Once a narcotic has been withdrawn, it cannot be returned to the dispenser due to contamination and safety protocols.

C: Placing the wasted portion of the medication in the sharps container is not correct. Narcotics should be disposed of according to specific protocols, which typically involve witnessing and documentation, not simply placing them in a sharps container.

D: Exiting the medication room to call the health care provider to request an order that matches the dosages is unnecessary. The nurse should follow the proper procedure for wasting the medication with a witness.

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The nurse is administering medication to a pregnant patient. After looking up the medication, the nurse determines the medication is categorized as a Pregnancy Risk Category A. What is true of Pregnancy Risk Category A drugs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

Correct Answer is A

Explanation

The nurse is caring for a patient with a healing Stage II pressure ulcer. The wound is clean and granulating. Which health care provider’s order will the nurse question?

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