The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?

Notify the physician to change the route of administration.

Do not give the medication and notify the provider for further clarification.

Administer the medication and then monitor for adverse reactions.

Verify the client's identity and administer the medication as prescribed.

Answer and Explanation

The Correct Answer is B

A.   This is not the correct action because the issue with misoprostol in pregnancy is not related to the route of administration, but rather its potential to cause uterine contractions and harm to the pregnancy. The nurse should not administer the medication at all, regardless of the route, and should notify the physician for further clarification.
B.   Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, which may result in a miscarriage or preterm labor. The nurse should not administer this medication and must inform the healthcare provider to reconsider the prescription or explore alternative options to prevent stomach ulcers in pregnant clients.
C.   Administering misoprostol to a pregnant client is dangerous, as it can stimulate uterine contractions and threaten the pregnancy. Monitoring for adverse reactions would not be an appropriate course of action, as the medication should not be given to begin with.
D.   Even though verifying the patient's identity is always an important step, the main concern here is that misoprostol is contraindicated during pregnancy. The nurse should not administer this medication and must first clarify with the healthcare provider if it is suitable for the pregnant patient.

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Correct Answer is ["B","C","D"]

Explanation

A. Priapism is a rare side effect that can occur with certain medications, but it is not commonly associated with cimetidine.
B. Cimetidine, a H2 blocker used for stomach acid reduction, can cause decreased libido as a side effect, especially in long-term use, due to its antiandrogenic properties.
C. Sedation is a potential side effect of cimetidine, as it can cross the blood-brain barrier and cause central nervous system effects such as drowsiness.
D. Impotence is another side effect of cimetidine, due to its antiandrogenic effects.

A. Take this medication with mess. B. Take this medication with an antacid if heartburn occurs C. Take this medication in the morning before eating. D. Chew the tablets to increase bioavailability.

Correct Answer is C

Explanation

A. Alendronate should be taken on an empty stomach with a full glass of water, at least 30 minutes before any food or other medications. This ensures better absorption.
B. Alendronate should not be taken with antacids, as they can interfere with its absorption. The patient should not lie down immediately after taking it to prevent esophageal irritation.
C. This is the correct recommendation. Alendronate should be taken in the morning, on an empty stomach, with a full glass of water. The patient should then remain upright for at least 30 minutes.
D. Alendronate tablets should be swallowed whole. Crushing or chewing the tablet may increase the risk of esophageal irritation and reduce its effectiveness.

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The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration at 0900. The nurse noticed that the physician ordered misoprostol to prevent stomach ulcers. What is the next action that the nurse should take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is prescribed with cimetidine (Tagamet HB). The nurse understands that complications of cimetidine (Tagamel HB) include: (Select All That Apply.).

Correct Answer is ["B","C","D"]

Explanation

A nurse is teaching a client who has osteoporosis and a new prescription for alendronate (Fosamax). Which of the following instructions should the nurse provide?

Correct Answer is C

Explanation

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