A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?

Naproxen

Aspirin

Ibuprofen

Acetaminophen

Answer and Explanation

The Correct Answer is D

Choice A reason:

Naproxen is classified as a pregnancy category B medication during the first and second trimesters but becomes category D in the third trimester due to potential risks to the fetus. It is generally advised to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen during pregnancy unless specifically recommended by a healthcare provider.

Choice B reason:

Aspirin is not considered safe during pregnancy, especially in higher doses. It is classified as category D in the third trimester due to risks such as premature closure of the ductus arteriosus and potential bleeding complications. Low-dose aspirin may be prescribed in specific cases, but it is not generally recommended as an over-the-counter option for pregnant women.

Choice C reason:

Ibuprofen, like naproxen, is an NSAID and is classified as category B during the first and second trimesters but category D in the third trimester. It is generally advised to avoid ibuprofen during pregnancy due to potential risks to the fetus, particularly in the later stages of pregnancy.

Choice D reason:

Acetaminophen is classified as a pregnancy category B medication and is considered safe for use during all trimesters of pregnancy. It is the preferred over-the-counter analgesic and antipyretic for pregnant women due to its safety profile. Acetaminophen does not carry the same risks as NSAIDs and is widely used to manage pain and fever during pregnancy.

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Free Nursing Study Resources

Correct Answer is ["B"]

Explanation

Choice A reason: Sees himself as inferior to others is not typically associated with paranoid personality disorder. Individuals with this disorder often have a pervasive distrust and suspicion of others but do not necessarily view themselves as inferior.

Choice B reason: Persistently holds grudges is a common characteristic of paranoid personality disorder. These individuals often harbor long-term grudges and are unwilling to forgive perceived insults or slights.

Choice C reason: Demonstrates a grandiose sense of self-importance is more characteristic of narcissistic personality disorder rather than paranoid personality disorder. Paranoid individuals are more focused on the perceived intentions of others rather than their own self-importance.

Choice D reason: Desires to be the center of attention is typically associated with histrionic personality disorder, not paranoid personality disorder. Paranoid individuals are more likely to be suspicious and distrustful rather than seeking attention.

Choice E reason: Believes that others are deceiving him is a hallmark of paranoid personality disorder. These individuals often believe that others are out to harm or deceive them, leading to pervasive mistrust and suspicion.

A. Apply intermittent ice to the affected ankle for the first 48 hours. B. Wrap the affected ankle with an elasticized compression bandage. C. Apply full weight-bearing on the affected ankle. D. Elevate the affected ankle above the level of the heart. E. Apply a heating pad intermittently to the affected ankle after 48 hours.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A reason: Apply intermittent ice to the affected ankle for the first 48 hours

Applying ice intermittently to the affected ankle for the first 48 hours helps reduce swelling and inflammation. Ice should be applied for 15-20 minutes every 2-3 hours during the initial phase of injury management. This practice is part of the RICE (Rest, Ice, Compression, Elevation) protocol commonly used for sprains and strains.

Choice B reason: Wrap the affected ankle with an elasticized compression bandage

Wrapping the affected ankle with an elasticized compression bandage helps to minimize swelling and provide support to the injured area. Compression bandages should be snug but not too tight to avoid restricting blood flow. This is another component of the RICE protocol.

Choice C reason: Apply full weight-bearing on the affected ankle

Applying full weight-bearing on the affected ankle is not recommended immediately after a second-degree sprain. The ankle needs time to heal, and weight-bearing should be gradually reintroduced as pain and swelling decrease. Initially, the client should avoid putting weight on the injured ankle to prevent further damage.

Choice D reason: Elevate the affected ankle above the level of the heart

Elevating the affected ankle above the level of the heart helps reduce swelling by promoting venous return and decreasing fluid accumulation in the injured area. This is an essential part of the RICE protocol and should be done as much as possible during the first 48 hours.

Choice E reason: Apply a heating pad intermittently to the affected ankle after 48 hours

Applying a heating pad intermittently to the affected ankle after 48 hours can help increase blood flow and promote healing. Heat therapy should be used after the initial acute phase (first 48 hours) when swelling has subsided. Heat can help relax muscles and reduce stiffness in the injured area.

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A nurse is teaching a client who is in her first trimester of pregnancy about over-the-counter medications that are a pregnancy risk category B. Which of the following medications should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has paranoid personality disorder. Which of the following findings should the nurse expect? (Select all that apply)

Correct Answer is ["B"]

Explanation

A nurse is teaching a client who has a new second-degree ankle sprain. Which of the following instructions should the nurse include in the teaching? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

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