Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A 37-year-old woman who is 8 weeks pregnant presents to the nurse practitioner with a chief complaint of severe morning sickness. Which one of the following will the NP recommend?
A. Ondansetron (Zofran)
Ondansetron is a potent antiemetic that can be effective for nausea and vomiting, but it is typically not the first-line therapy in early pregnancy due to potential, albeit low, risks of fetal malformations. Its use is usually reserved for cases refractory to first-line interventions.
B. Metoclopramide (Reglan)
Metoclopramide can be used for nausea and vomiting in pregnancy, but it carries risks of extrapyramidal side effects and is generally not the first-line recommendation for mild to moderate morning sickness.
C. Promethazine (Phenergan)
Promethazine is an antihistamine antiemetic that can be used safely in pregnancy but is often reserved for more severe cases or when first-line therapy fails. Sedation is a common side effect.
D. Doxylamine (Unisom) and vitamin B6
Doxylamine, an antihistamine, combined with vitamin B6 (pyridoxine) is considered the first-line treatment for nausea and vomiting in pregnancy. This combination has demonstrated efficacy and safety in early pregnancy, making it the preferred initial therapy for severe morning sickness.
This question is an excerpt from Nurse Dive's nursing test bank - Mental Health Northern Kentucky University Proctored Exam 6. Take the full exam now
Full Explanation
Choice A reason: Ondansetron is a potent antiemetic that can be effective for nausea and vomiting, but it is typically not the first-line therapy in early pregnancy due to potential, albeit low, risks of fetal malformations. Its use is usually reserved for cases refractory to first-line interventions.
Choice B reason: Metoclopramide can be used for nausea and vomiting in pregnancy, but it carries risks of extrapyramidal side effects and is generally not the first-line recommendation for mild to moderate morning sickness.
Choice C reason: Promethazine is an antihistamine antiemetic that can be used safely in pregnancy but is often reserved for more severe cases or when first-line therapy fails. Sedation is a common side effect.
Choice D reason: Doxylamine, an antihistamine, combined with vitamin B6 (pyridoxine) is considered the first-line treatment for nausea and vomiting in pregnancy. This combination has demonstrated efficacy and safety in early pregnancy, making it the preferred initial therapy for severe morning sickness.
Similar Questions
The PMHNP is working on an inpatient geropsychiatric unit. He is conducting the Montreal Cognitive Assessment (MoCA) on an 89-year-old woman with suspected dementia. He asks her to draw a clock to test her planning, sequencing, and organizing abilities. Which area of the brain is responsible for planning, sequencing, and organizing?
A. Parietal lobe
The parietal lobe is primarily responsible for spatial orientation, sensory integration, and perception rather than executive functions such as planning and organizing.
B. Temporal lobe
The temporal lobe is mainly involved in auditory processing, memory, and language comprehension. It is not the primary center for planning and sequencing complex tasks.
C. Occipital lobe
The occipital lobe is dedicated to visual processing and does not play a central role in executive function or organization.
D. Frontal lobe
The frontal lobe is the key region responsible for executive functions, including planning, sequencing, organizing, and decision-making. The clock-drawing test assesses these abilities, highlighting frontal lobe function.
Full Explanation
Choice A reason: The parietal lobe is primarily responsible for spatial orientation, sensory integration, and perception rather than executive functions such as planning and organizing.
Choice B reason: The temporal lobe is mainly involved in auditory processing, memory, and language comprehension. It is not the primary center for planning and sequencing complex tasks.
Choice C reason: The occipital lobe is dedicated to visual processing and does not play a central role in executive function or organization.
Choice D reason: The frontal lobe is the key region responsible for executive functions, including planning, sequencing, organizing, and decision-making. The clock-drawing test assesses these abilities, highlighting frontal lobe function.
The primary sensory area for taste, reading, and writing functions is located in which area of the brain?
A. Frontal lobe
The frontal lobe primarily governs voluntary motor activity, executive functions, and speech production rather than sensory integration for taste or reading.
B. Parietal lobe
The parietal lobe processes sensory input, integrates information for reading and writing, and contributes to gustatory sensation. The postcentral gyrus of the parietal lobe contains the primary somatosensory cortex critical for these functions.
C. Occipital lobe
The occipital lobe is responsible for visual processing and is not involved in taste or language-related sensory functions.
D. Temporal lobe
The temporal lobe is involved in auditory processing, memory, and language comprehension but does not directly process primary sensory input for taste or writing.
Full Explanation
Choice A reason: The frontal lobe primarily governs voluntary motor activity, executive functions, and speech production rather than sensory integration for taste or reading.
Choice B reason: The parietal lobe processes sensory input, integrates information for reading and writing, and contributes to gustatory sensation. The postcentral gyrus of the parietal lobe contains the primary somatosensory cortex critical for these functions.
Choice C reason: The occipital lobe is responsible for visual processing and is not involved in taste or language-related sensory functions.
Choice D reason: The temporal lobe is involved in auditory processing, memory, and language comprehension but does not directly process primary sensory input for taste or writing.
Which of the following is considered a manipulative body-based therapy?
A. Guided imagery
Guided imagery is a mind-body intervention using mental visualization techniques and does not involve direct manipulation of the body.
B. Meditation
Meditation focuses on mindfulness and relaxation techniques without physical manipulation of muscles or joints.
C. Reflexology
Reflexology is a manipulative body-based therapy that involves applying pressure to specific points on the feet, hands, or ears to stimulate healing and relaxation in corresponding body parts.
D. Yoga
Yoga combines physical postures, breathing, and meditation. While it involves the body, it is primarily classified as movement-based or mind-body therapy rather than strictly manipulative body-based therapy.
Full Explanation
Choice A reason: Guided imagery is a mind-body intervention using mental visualization techniques and does not involve direct manipulation of the body.
Choice B reason: Meditation focuses on mindfulness and relaxation techniques without physical manipulation of muscles or joints.
Choice C reason: Reflexology is a manipulative body-based therapy that involves applying pressure to specific points on the feet, hands, or ears to stimulate healing and relaxation in corresponding body parts.
Choice D reason: Yoga combines physical postures, breathing, and meditation. While it involves the body, it is primarily classified as movement-based or mind-body therapy rather than strictly manipulative body-based therapy.