The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration.
The nurse noticed that the physician ordered a medication that is Pregnancy Risk Category
D. What is the next action that the nurse should take?
Notify the physician to change the route of administration.
Inform the client about the risks and administer the medication.
Hold the medication and consult with the physician.
Continue with the current medication administration schedule.
The Correct Answer is C
Choice A rationale
Changing the route of administration does not mitigate the risks associated with Category D medications during pregnancy.
Choice B rationale
Administering the medication without further consultation can pose significant risks to the fetus.
Choice C rationale
Holding the medication and consulting with the physician ensures safety by verifying the necessity and potential risks associated with the medication.
Choice D rationale
Continuing the current medication administration without consulting the physician can put both the mother and fetus at risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Azithromycin can prolong the QT interval, leading to potential cardiac arrhythmias. Patients with a history of prolonged QT interval or other heart conditions should be monitored closely.
Choice B rationale
Constipation is not commonly associated with azithromycin use. Gastrointestinal side effects may include diarrhea or nausea but not constipation.
Choice C rationale
While tachycardia can be a side effect of some medications, azithromycin is more commonly associated with QT prolongation rather than causing increased heart rate directly.
Choice D rationale
Hyperkalemia is not typically a concern with azithromycin. Electrolyte imbalances are not a common side effect of this antibiotic.
Correct Answer is {"dropdown-group-1":"C"}
Explanation
Choice A rationale: Furosemide is a loop diuretic used to reduce fluid overload in CHF patients. However, it can exacerbate electrolyte imbalances, particularly hypokalemia. Since the client is already experiencing muscle spasms and has low calcium levels, additional diuretic therapy could worsen these symptoms.
Choice B rationale: Metoprolol is a beta-blocker used to manage hypertension and heart rate in CHF patients. While beneficial for blood pressure control, it does not address the immediate issue of muscle spasms and constipation the client is experiencing.
Choice C rationale: Potassium chloride is indicated to address potential hypokalemia, which may be causing the client's muscle spasms. CHF patients on diuretics often experience low potassium levels, so supplementation is crucial to prevent complications and alleviate symptoms.
Choice D rationale: Acetaminophen is an analgesic and antipyretic, useful for pain and fever management. However, it does not address the client's reported muscle spasms, which are likely related to electrolyte imbalances.
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