A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

Antihistamines are safe to take during breastfeeding, but they cause spina bifida in pregnancy.

Antihistamines should be avoided in pregnancy unless necessary.

The margin of safety for antihistamines is clearly understood for pregnant clients.

Second-generation antihistamines are completely safe to take during the first trimester.

Answer and Explanation

The Correct Answer is B

a) Antihistamines are generally considered safe during breastfeeding, but this statement does not address the safety during pregnancy.

b) The general recommendation is to avoid unnecessary medication use during pregnancy, including antihistamines, especially during the first trimester.

c) The margin of safety for antihistamines is not universally understood, and caution is advised during pregnancy.

d) While second-generation antihistamines are considered safer than first-generation ones, the safety of any medication during pregnancy should be discussed with a healthcare provider.

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Correct Answer is ["D"]

Explanation

The blood glucose reading before lunch falls within the range of 201-250 mg/dl according to the sliding scale, and the corresponding instruction is to give six units of lispro insulin.

A. Encourage oral fluid intake during the infusion and for 2 hours after the infusion. B. Monitor urinary output every 30 minutes. C. Provide a low-protein diet for one day before and two days after the acyclovir infusion. D. Administer intravenous normal saline boluses, as ordered.

Correct Answer is A

Explanation

a. This is the correct answer because maintaining adequate hydration helps prevent nephrotoxicity associated with acyclovir. Encouraging fluid intake during and after the infusion helps flush the drug through the kidneys.

b. While monitoring urinary output is important, it alone may not be sufficient to prevent nephrotoxicity.

c. Providing a low-protein diet is not a standard intervention for preventing acyclovir-induced nephrotoxicity.

d. Administering intravenous normal saline boluses, as ordered, can help maintain hydration and prevent nephrotoxicity. However, encouraging oral fluid intake is a more direct and immediate measure during acyclovir infusion.

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A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is scheduled to administer lispro insulin per sliding scale before meals. The serum blood glucose reading before lunch is 152 mg/dl. Given the following sliding scale, how much insulin lispro should be given before lunch? (Select the appropriate parameter.)

Correct Answer is ["D"]

Explanation

The nurse is caring for a client who has an order for no food or drink by mouth and is receiving intravenous acyclovir. To prevent nephrotoxicity, what is the nurse's action?

Correct Answer is A

Explanation

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