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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Correct Answer is C

Explanation

Choice A reason:

The statement “Dark urine” is not typically a manifestation of an allergic reaction to oxacillin. Dark urine can indicate other issues such as dehydration, liver problems, or the presence of blood, but it is not a common sign of an allergic reaction to antibiotics.

Choice B reason:

The statement “Diarrhea” is a common side effect of many antibiotics, including oxacillin, but it is not specifically indicative of an allergic reaction. Diarrhea can occur due to the disruption of normal gut flora by antibiotics, but it does not necessarily mean the patient is allergic to the medication.

Choice C reason:

The statement “Urticaria” (hives) is a classic sign of an allergic reaction. Urticaria presents as raised, itchy welts on the skin and is a common allergic response to medications, including oxacillin. This reaction occurs when the immune system releases histamines in response to the drug.

Choice D reason:

The statement “Fever” can be associated with both infections and allergic reactions, but it is not a definitive sign of an allergic reaction to oxacillin. Fever can occur due to the underlying infection being treated or as a side effect of the medication, but it is not as specific as urticaria for indicating an allergic response.

A. Offer the child a choice of taking the medication with juice or water. B. Tell the child it is candy. C. Tell the child he will have to have a shot instead. D. Hide the medication in a large dish of ice cream.

Correct Answer is A

Explanation

Choice A reason:

Offering the child a choice of taking the medication with juice or water is an effective strategy. Giving children choices helps them feel a sense of control and can reduce resistance. This approach respects the child’s autonomy and can make the medication-taking process less stressful for both the child and the nurse.

Choice B reason:

Telling the child it is candy is not an appropriate strategy. This can lead to mistrust and confusion, as the child may expect candy and be disappointed or upset when they realize it is medication. It is important to be honest with children about what they are taking to build trust and ensure they understand the importance of the medication.

Choice C reason:

Telling the child he will have to have a shot instead is not a helpful approach. This can create fear and anxiety about both the medication and future medical procedures. Using threats or scare tactics can damage the child’s trust in healthcare providers and make them more resistant to treatment in the future.

Choice D reason:

Hiding the medication in a large dish of ice cream is not recommended. While it might seem like an easy way to get the child to take the medication, it can lead to issues with dosage accuracy and the child may develop an aversion to the food used to hide the medication. It is better to use transparent and honest methods to encourage cooperation.

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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 assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction?

Correct Answer is C

Explanation

A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child’s cooperation?

Correct Answer is A

Explanation

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