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?

Choice A reason:

Nursing assistants are at risk for various musculoskeletal injuries due to the physical nature of their work, which often involves lifting and moving patients. However, their risk for repetitive motion injuries is generally lower compared to occupations that involve repetitive tasks over extended periods.

Choice B reason:

Assembly line workers are highly susceptible to repetitive motion injuries. Their work typically involves performing the same motions repeatedly, which can lead to conditions such as carpal tunnel syndrome, tendonitis, and other musculoskeletal disorders. The repetitive nature of their tasks places significant strain on specific muscle groups and joints.

Choice C reason:

Truck drivers are more prone to injuries related to prolonged sitting and vibration exposure, such as lower back pain and sciatica. While they may perform some repetitive tasks, such as shifting gears, these do not typically constitute the primary risk for repetitive motion injuries.

Choice D reason:

Elementary school teachers are less likely to suffer from repetitive motion injuries compared to assembly line workers. Their job involves a variety of activities, including standing, walking, and interacting with students, which reduces the likelihood of repetitive strain on specific muscle groups.

Choice A reason: Temperature 38.2°C (100°F)

A temperature of 38.2°C (100°F) is slightly elevated and could indicate an infection or other inflammatory response. However, it is not immediately life-threatening and does not require urgent intervention compared to other symptoms. Monitoring and further assessment are necessary, but it is not the highest priority.

Choice B reason: The client reports weakness of the lower extremities

Weakness of the lower extremities can be a side effect of epidural analgesia. While it is concerning and requires monitoring, it is not as immediately critical as severe hypotension. The nurse should assess the extent of the weakness and ensure the client’s safety, but it is not the top priority.

Choice C reason: The client reports some itching

Itching is a common side effect of opioid analgesia and, while uncomfortable, it is not dangerous. It can be managed with antihistamines or other medications. This symptom does not require urgent intervention and is not the highest priority.

Choice D reason: Blood pressure 80/56 mm Hg

A blood pressure of 80/56 mm Hg indicates significant hypotension, which can be life-threatening for both the mother and the fetus. Hypotension can lead to decreased perfusion to vital organs and the placenta, potentially causing fetal distress. Immediate intervention is required to stabilize the client’s blood pressure and ensure adequate blood flow to the fetus. This makes it the highest priority for the nurse to address.