A physician prescribes clomiphene citrate (Clomid, Serophene) for ...

[Destiiny22]

A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurse's most appropriate response is
 
  a. This is a legitimate concern. Would you like to discuss this further before your
  treatment begins?
  b. No one has ever had more than triplets with Clomid.
  c. Ovulation will be monitored with ultrasound so that this will not happen.
  d. Ten percent is a very low risk, so you don't need to worry too much.

Question 2

What is the primary nursing concern for a child having an anaphylactic reaction?
 
  a. Identifying the offending allergen
  b. Ineffective breathing pattern
  c. Increased cardiac output
  d. Positioning to facilitate comfort

[juwms]

Answer to Question 1

A
Feedback
A The incidence of multiple pregnancies with the use of these medications is
increased. The patient's concern is legitimate and should be discussed so that she
can make an informed decision.
B This statement is inaccurate and negates the patient's concerns.
C Ultrasound cannot ensure that a multiple pregnancy will not occur.
D The percentage quoted in this statement is inaccurate. Furthermore, the patient's
concern is discredited with a statement such as Don't worry.

Answer to Question 2

B
Feedback
A Determining the cause of an anaphylactic reaction is important to implement the
appropriate treatment, but the primary concern is the airway.
B Laryngospasms resulting in ineffective breathing patterns is a life-threatening
manifestation of anaphylaxis. The primary action is to assess airway patency,
respiratory rate and effort, level of consciousness, oxygen saturation, and urine
output.
C During anaphylaxis, the cardiac output is decreased.
D During the acute period of anaphylaxis, the nurse's primary concern is the
child's breathing. Positioning for comfort is not a primary concern during a
crisis.

[Destiiny22]

Excellent

[Dominic]

TYSM