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
Metoprolol is a beta-adrenergic blocker that works by decreasing heart rate, myocardial contractility, and cardiac output. It is commonly used to treat hypertension by reducing the workload on the heart and lowering blood pressure.
Choice B rationale
Nitroglycerin is a vasodilator that is used to treat angina by dilating blood vessels and improving blood flow to the heart. It does not have the same mechanism of action as beta-adrenergic blockers.
Choice C rationale
Losartan is an angiotensin II receptor blocker (ARB) that helps relax blood vessels and lower blood pressure. It does not directly decrease heart rate or myocardial contractility like beta-adrenergic blockers.
Choice D rationale
Metformin is an oral hypoglycemic agent used to manage type 2 diabetes by improving insulin sensitivity and reducing glucose production in the liver. It is not used to treat hypertension and does not have the same mechanism of action as beta-adrenergic blockers.
Correct Answer is A
Explanation
Choice A rationale
Ondansetron (Zofran) is an anti-emetic medication used to prevent nausea and vomiting by blocking serotonin receptors in the chemoreceptor trigger zone and the gastrointestinal tract.
Choice B rationale
Acetaminophen (Tylenol) is an analgesic and antipyretic medication used to relieve pain and reduce fever, but it is not an anti-emetic.
Choice C rationale
Prochlorperazine (Compazine) is an anti-psychotic and anti-emetic medication used to treat nausea and vomiting, as well as certain mental/mood disorders.
Choice D rationale
Morphine Sulfate is an opioid analgesic used to relieve moderate to severe pain but does not have anti-emetic properties.
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