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 C
Explanation
A. Ondansetron does not treat QT interval prolongation. It is used to prevent nausea and vomiting, especially in chemotherapy-induced nausea.
B. Ondansetron is not used to treat extrapyramidal symptoms. It is primarily used as an antiemetic.
C. Ondansetron is a 5-HT3 receptor antagonist used to prevent nausea and vomiting, especially related to chemotherapy and radiation treatments.
D. Ondansetron is not used for diarrhea treatment. It is specifically an antiemetic used to treat nausea and vomiting.
Correct Answer is B
Explanation
A. Morphine is an opioid agonist, not an antagonist. It binds to the mu and kappa receptors to produce its analgesic effects.
B. Morphine sulfate is an opioid analgesic that works by binding to the mu and kappa receptors in the brain and spinal cord, which produces pain relief.
C. This statement is not accurate. Morphine sulfate typically has a stronger analgesic effect than butorphanol, a partial opioid agonist.
D. Morphine sulfate has a high potential for abuse due to its euphoric effects and is classified as a controlled substance.
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