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
Prazosin, an alpha-blocker, is often started at the lowest dose and taken at night to minimize the risk of orthostatic hypotension, a sudden drop in blood pressure upon standing.
Choice B rationale
Starting prazosin at the highest dose is not recommended due to the risk of severe orthostatic hypotension, which can lead to dizziness and fainting.
Choice C rationale
It is important to monitor blood pressure with the first dose of prazosin to assess the patient's response and avoid significant drops in blood pressure.
Choice D rationale
Prazosin may take several weeks to achieve full therapeutic effect. It does not control hypertension within a week.
Correct Answer is D
Explanation
Choice A rationale
Albuterol is a bronchodilator used to relax muscles in the airways and increase airflow to the lungs. It is primarily used in conditions such as asthma and chronic obstructive pulmonary disease (COPD), not as a decongestant.
Choice B rationale
Beclomethasone is a corticosteroid used to reduce inflammation in conditions such as asthma and allergic rhinitis. While it helps with symptoms, it is not classified as a decongestant.
Choice C rationale
Diphenhydramine is an antihistamine that alleviates allergy symptoms by blocking histamine action. It can relieve sneezing, itching, and runny nose but is not classified as a decongestant.
Choice D rationale
Phenylephrine is a decongestant that works by constricting blood vessels in the nasal passages. This reduces swelling and congestion, making it effective for managing symptoms of allergic rhinitis. .
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