The nurse is reviewing a pregnant client's prescribed medications that are currently due for administration.
The nurse noticed that the physician ordered a medication that is Pregnancy Risk Category
D. What is the next action that the nurse should take?
Notify the physician to change the route of administration.
Inform the client about the risks and administer the medication.
Hold the medication and consult with the physician.
Continue with the current medication administration schedule.
The Correct Answer is C
Choice A rationale
Changing the route of administration does not mitigate the risks associated with Category D medications during pregnancy.
Choice B rationale
Administering the medication without further consultation can pose significant risks to the fetus.
Choice C rationale
Holding the medication and consulting with the physician ensures safety by verifying the necessity and potential risks associated with the medication.
Choice D rationale
Continuing the current medication administration without consulting the physician can put both the mother and fetus at risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Celecoxib does not inhibit the histamine response. Histamine is involved in allergic reactions, and celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that targets specific enzymes involved in inflammation.
Choice B rationale
Celecoxib specifically inhibits COX-2, an enzyme involved in the inflammation pathway. This selective inhibition helps reduce inflammation and pain without significantly affecting COX-1, which is protective for the stomach lining.
Choice C rationale
COX-1 is not the primary target of celecoxib. Inhibition of COX-1 can lead to gastrointestinal side effects, which celecoxib aims to minimize by selectively inhibiting COX-2 instead.
Choice D rationale
Celecoxib does not inhibit beta receptors. Beta receptors are involved in cardiovascular responses, and beta blockers are used for conditions like hypertension, not inflammation.
Correct Answer is D
Explanation
Choice A rationale
Tumor enhancer genes are not typically a recognized category in cancer genetics. Proto-oncogenes and DNA repair genes are relevant to cancer development.
Choice B rationale
This choice is incorrect as there are genes like proto-oncogenes, tumor suppressor genes, and DNA repair genes that play roles in cancer.
Choice C rationale
This choice is partially correct but incomplete without including DNA repair genes, which are also crucial in cancer prevention.
Choice D rationale
This choice is correct as proto-oncogenes can become oncogenes, tumor suppressor genes prevent uncontrolled cell growth, and DNA repair genes fix DNA mutations that can lead to cancer.
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