Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A pregnant client stopped using her routine asthma medications because she doesn't want to harm her baby. Which of the following is true regarding asthma medication use during pregnancy?
A. Pregnant women who stop their routine asthma medications may double their chances of a stillbirth.
Stopping routine asthma medications may actually increase the risk of complications, including exacerbation of asthma and potential harm to the baby.
B. Women should stop all routine medications as soon as they become pregnant.
Stopping all routine medications is not recommended without consulting a healthcare provider.
C. Pregnant women should resume all medicines in their second trimester.
Many asthma medications are considered safe during pregnancy, and managing asthma is important for both maternal and fetal health.
D. There is no need for concern, as asthma medications will not affect the fetus.
There is a need for concern, and it is essential for pregnant women with asthma to work with their healthcare providers to manage their condition appropriately.
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
A) Stopping routine asthma medications may actually increase the risk of complications, including exacerbation of asthma and potential harm to the baby.
B) Stopping all routine medications is not recommended without consulting a healthcare provider.
C) Many asthma medications are considered safe during pregnancy, and managing asthma is important for both maternal and fetal health.
D) There is a need for concern, and it is essential for pregnant women with asthma to work with their healthcare providers to manage their condition appropriately.
Similar Questions
A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?
A. "I will take this medication with meals to help prevent stomach upset."
Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.
B. "I may experience tinnitus with higher doses of this medication."
Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.
C. "I should stop drinking alcohol."
Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.
D. "I may take up to 1000 mg four times daily for pain."
The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.
Full Explanation
A) Taking ibuprofen with meals is a good practice to reduce the risk of stomach upset.
B) Tinnitus is not a typical side effect of ibuprofen, and this statement may indicate a misunderstanding or confusion with another medication.
C) Stopping alcohol consumption is advisable as it can increase the risk of gastrointestinal bleeding when combined with ibuprofen.
D) The dosing information provided is within the typical recommended range for ibuprofen, and the statement is accurate.
A client is taking a drug that has potential toxic side effects. What will the nurse do?
A. Teach the client how to treat the symptoms if they develop.
Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.
B. Continue the drug even if the client has signs of toxicity.
Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.
C. Monitor the function of all organs potentially affected by the drug.
Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.
D. Discontinue the drug even if the client does not have signs of toxicity.
Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.
Full Explanation
A) Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.
B) Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.
C) Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.
D) Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.
The nurse receives an order to give atropine 300mcg SQ now. The medication is available in 1mg/mL vial. How many mL should the nurse administer?
(Record the answer to the tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
-
Convert the ordered dose from micrograms (mcg) to milligrams (mg):
- 300 mcg = 0.3 mg (since 1 mg = 1000 mcg)
-
Use the formula:
Dose to administer = (Desired Dose ÷ On-Hand Dose) × Quantity Available- Desired Dose (D) = 0.3 mg
- On-Hand Dose (H) = 1 mg
- Quantity Available (Q) = 1 mL
-
Calculate:
0.3 mg ÷ 1 mg × 1 mL = 0.3 mL
The nurse should administer 0.3 mL of the medication.