The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?
Notify the physician to change the route of administration.
Do not give the medication and notify the provider for further clarification.
Administer the medication and then monitor for adverse reactions.
Verify the client's identity and administer the medication as prescribed.
The Correct Answer is B
A. This is not the correct action because the issue with misoprostol in pregnancy is not related to the route of administration, but rather its potential to cause uterine contractions and harm to the pregnancy. The nurse should not administer the medication at all, regardless of the route, and should notify the physician for further clarification.
B. Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, which may result in a miscarriage or preterm labor. The nurse should not administer this medication and must inform the healthcare provider to reconsider the prescription or explore alternative options to prevent stomach ulcers in pregnant clients.
C. Administering misoprostol to a pregnant client is dangerous, as it can stimulate uterine contractions and threaten the pregnancy. Monitoring for adverse reactions would not be an appropriate course of action, as the medication should not be given to begin with.
D. Even though verifying the patient's identity is always an important step, the main concern here is that misoprostol is contraindicated during pregnancy. The nurse should not administer this medication and must first clarify with the healthcare provider if it is suitable for the pregnant patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Urinary output of 80 mL/hour is not concerning and indicates adequate renal function.
B. Urinary output of 12 mL/hour is very low and may indicate renal insufficiency or dehydration, requiring immediate intervention.
C. A blood potassium level of 2.5 mEq/L is critically low and requires discontinuation of the diuretic to prevent life-threatening arrhythmias.
D. A blood potassium level of 2.9 mEq/L is also low and would be concerning, though not as critical as
2.5 mEq/L. It may still necessitate withholding the medication and addressing electrolyte imbalances.
Correct Answer is A
Explanation
A. 0.9% Sodium chloride (normal saline) is an isotonic solution, meaning it has a similar osmolality to the blood and will not cause fluid shifts into or out of cells.
B. This is a hypotonic solution, which has a lower osmolality than blood and can cause water to move into cells, potentially leading to cell swelling.
C. This solution is considered isotonic, but it has dextrose, which is metabolized quickly in the body, potentially making the solution hypotonic after glucose is used.
D. This is incorrect, as 0.9% Sodium Chloride is an isotonic solution.
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