The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?

Ibuprofen

Lithium

Methotrexate

Nicotine

Answer and Explanation

The Correct Answer is A

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

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Correct Answer is B

Explanation

A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.

B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.

C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.

D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.

A. Taking finasteride B. Occasional use of nitroglycerin C. Benign prostatic hypertrophy D. Mild hypertension

Correct Answer is A

Explanation

A) Sildenafil and finasteride can both lower blood pressure, and concomitant use may increase the risk of hypotension.

B) Nitroglycerin use is a contraindication for sildenafil due to the risk of severe hypotension.

C) Benign prostatic hypertrophy alone may not be a contraindication for sildenafil use.

D) Mild hypertension alone may not be a contraindication for sildenafil, but it should be considered in the overall assessment of cardiovascular health.

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The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?

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Naxlex Comprehensive Predictor Exams

A client has had emergency surgery for a ruptured appendix. Before surgery, the client was taking dexamethasone for three years. With the client's steroid use history, for which complication will the nurse monitor in the recovery phase?

Correct Answer is B

Explanation

A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?

Correct Answer is A

Explanation

A client who is suffering from an acute gout attack wants to know how colchicine differs from probenecid and allopurinol in its actions. Which of these statements shows the need for further teaching regarding the purpose and use of these medications?

A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?

Which of these statements best describes the concept of half-life?

A client presents with tinea corporis, and the prescriber orders itraconazole. When educating the client about this medication, the nurse will include which statement?

A nurse is talking to a client who wants to stop taking glucocorticoids after taking them for 3 months. Which statement by the client indicates a good understanding of the teaching about withdrawal?

The nurse reinforces instructions regarding when to take levothyroxine and determines teaching was effective when the client states the medication should be taken in which manner?

What should the nurse include in a client's discharge teaching when going home with a prescription for digoxin 0.125 mg by mouth once daily?

The nurse is caring for a client who is receiving vancomycin. The nurse notes the client is experiencing flushing, rash, pruritus, and urticaria. The client's heart rate is 120 beats/min, and blood pressure is 92/57 mm Hg. What complication is the client experiencing?