The nurse is planning care for a pregnant patient prone to ...

[kfurse]

The nurse is planning care for a pregnant patient prone to substance abuse. When the patient states, My baby isn't getting my drugs, I am, how does the nurse respond?
 
  1. Most illicit drugs will cross the placenta and hurt the baby.
  2. Even drugs that do not cross the placenta can hurt your baby by preventing nutrients from getting across the placenta.
  3. Research shows taking drugs can cause your baby to be born too early.
  4. You are correct. You are far enough along in your pregnancy that drugs will not harm your baby.
  5. If you continue to take drugs, it will make you have a very irritable infant.

Question 2

A patient presents with hypotension and bradycardia. The patient indicates that one of her physicians recently prescribed three new medications to her current list of 10 medications per day.
 
  Based on this information, which statement would be the most accurate?
  1. The patient is having an allergic reaction to one of the new medications.
  2. The patient is experiencing adverse reactions as a result of polypharmacy.
  3. The patient is not in compliance with her prescribed medications.
  4. The patient is experiencing an adverse effect that will go away in time.

[tashiedavis420]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms.
Rationale 2: Certain drugs can cause constriction of placental blood vessels, resulting in decreased nutrient exchange.
Rationale 3: Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms.
Rationale 4: The effect the drug has on the fetus will depend on the stage of fetal development. There is a greater potential for harm during the first trimester but nutrients to the fetus can be compromised by drug abuse during the latter stages of pregnancy.
Rationale 5: While withdrawal can cause irritability in infants born to drug addicts, the risk for irritability is not the reason for abstaining from drug use during pregnancy.

Answer to Question 2

Correct Answer: 2
Rationale: Polypharmacy increases the risk of drug interactions and side effects. It is not appropriate to assume the side effects will go away. The information provided does not reveal anything about patient compliance. Bradycardia and hypotension do not necessarily indicate an allergic reaction.

[kfurse]

TY

[tashiedavis420]

You're welcome