A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?
The margin of safety for antihistamines is clearly understood for pregnant patients
Second-generation antihistamines are safer than first-generation antihistamines
Antihistamines should not be taken during pregnancy but may be taken when breastfeeding
Antihistamines are contraindicated during the third trimester of pregnancy
The Correct Answer is B
The nurse will tell the patient that second-generation antihistamines are generally considered safer than first-generation antihistamines during pregnancy. While the safety of medications during pregnancy is a complex topic and individualized recommendations should be obtained from a healthcare provider, second-generation antihistamines such as loratadine (Claritin) and cetirizine (Zyrtec) are often preferred over first-generation antihistamines like diphenhydramine (Benadryl) due to their lower potential for sedation and other side effects. However, it is still important for the patient to consult with her healthcare provider for personalized advice on medication use during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
The nurse should make the following responses regarding how albuterol helps the client's breathing:
- The medication will open the airways.
- The medication will prevent wheezing.
Albuterol is a bronchodilator medication commonly used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). It works by relaxing the smooth muscles in the airways, leading to the dilation of the bronchial tubes and increased airflow. This mechanism helps open up the airways and prevent or relieve symptoms such as wheezing, shortness of breath, and chest tightness.
The other options are incorrect because:
The medication will decrease coughing episodes: While albuterol may indirectly reduce coughing episodes by opening up the airways and improving airflow, its primary effect is on bronchodilation rather than directly targeting coughing.
The medication will stimulate the flow of mucus: Albuterol is not known to stimulate mucus flow. Instead, it focuses on bronchodilation to improve airflow in the lungs.
The medication will reduce inflammation: Albuterol is primarily a bronchodilator and does not have a significant anti-inflammatory effect. Other medications, such as corticosteroids, are typically used to address inflammation in respiratory conditions.

Correct Answer is A
Explanation
Expectorants are medications that help thin and loosen mucus in the respiratory tract, making it easier to cough up and clear from the airways. Increasing fluid intake, particularly water helps to keep the mucus thin and less sticky, facilitating its removal. Adequate hydration can help promote effective expectoration and relieve congestion.
The other options are incorrect because:
B. Taking the medication once a day only, usually at bedtime: The dosing frequency and timing of expectorants can vary depending on the specific medication prescribed. It is important to follow the healthcare provider's instructions regarding the dosing schedule.
C. Increase fiber and fluid intake to prevent constipation: This instruction is unrelated to expectorant use. Increasing fiber and fluid intake is commonly recommended to promote regular bowel movements and prevent constipation, but it is not directly related to expectorant therapy.
D. Restrict fluids to decrease mucus production: Restricting fluids can lead to dehydration and thickening of mucus secretions. It is important to stay adequately hydrated to maintain thin and easily expectorated mucus. Restricting fluids is not recommended for managing mucus production.
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