The nurse is administering medication to a pregnant patient. After looking up the medication, the nurse determines the medication is categorized as a Pregnancy Risk Category A. What is true of Pregnancy Risk Category A drugs?

Benefit may outweigh the risk.

Studies show fetal risk.

Contraindicated in pregnant women.

Fetal harm is unlikely.

Answer and Explanation

The Correct Answer is D

A: The statement “Benefit may outweigh the risk” is more applicable to Pregnancy Risk Category D or X drugs, where there is evidence of risk but potential benefits may justify use in certain situations.

B: Studies showing fetal risk are associated with Pregnancy Risk Category D or X drugs. Category A drugs have not shown fetal risk in controlled studies.

C: Drugs that are contraindicated in pregnant women fall under Pregnancy Risk Category X, where the risks clearly outweigh any potential benefits.

D: Fetal harm is unlikely for Pregnancy Risk Category A drugs. These drugs have been tested in controlled studies and have not shown any risk to the fetus, making them safe for use during pregnancy.

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Correct Answer is C

Explanation

A: Checking the client’s skin every 8 hours is not frequent enough to prevent skin breakdown in a client with urinary incontinence. More frequent checks are necessary to identify and address any issues promptly.

B: Cleaning the client’s skin and perineum with hot water can cause skin irritation and dryness. It is better to use lukewarm water and gentle cleansers to maintain skin integrity.

C: Applying a moisture barrier ointment to the client’s skin is an effective way to prevent skin breakdown. The ointment creates a protective barrier that helps keep moisture away from the skin, reducing the risk of irritation and breakdown.

D: Requesting a prescription for the insertion of an indwelling urinary catheter is not the best first-line intervention for preventing skin breakdown. Catheters carry a risk of infection and should be used only when absolutely necessary.

A. Provide the client with a diet high in protein. B. Reposition the client every 3 hours. C. Massage bony prominences to promote circulation. D. Apply cornstarch to keep the skin dry.

Correct Answer is A

Explanation

A: Providing the client with a diet high in protein is essential for maintaining skin integrity. Protein is crucial for tissue repair and regeneration, which helps prevent skin breakdown and promotes healing of existing wounds.

B: Repositioning the client every 3 hours is less effective than the recommended every 2 hours. Frequent repositioning helps to relieve pressure on vulnerable areas and prevent pressure injuries.

C: Massaging bony prominences is not recommended as it can cause further damage to already fragile skin and underlying tissues. Gentle handling and avoiding pressure on these areas are more appropriate.

D: Applying cornstarch to keep the skin dry is not advisable as it can lead to skin irritation and breakdown. Instead, using moisture-wicking products and maintaining proper skin hygiene are better practices.

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The nurse is administering medication to a pregnant patient. After looking up the medication, the nurse determines the medication is categorized as a Pregnancy Risk Category A. What is true of Pregnancy Risk Category A drugs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown?

Correct Answer is C

Explanation

A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client’s skin?

Correct Answer is A

Explanation

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