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Author Question: A woman who is pregnant tells the nurse she has frequent heartburn in spite of eating small meals ... (Read 86 times)

ericka1

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on: Jul 23, 2018
A woman who is pregnant tells the nurse she has frequent heartburn in spite of eating small meals slowly; avoiding greasy, gas-forming foods, and remaining upright for 30 minutes after eating.
 
  The nurse will recommend which over-the-counter product?
  a. Alka-Seltzer
  b. Magaldrate
  c. Pepcid
  d. TUMS

Question 2

A pregnant woman reports having constipation and has tried dietary changes without success. What will the nurse recommend?
 
  a. Bisacodyl (Dulcolax)
  b. Mineral oil
  c. Psyllium (Metamucil)
  d. Senna (Senokot)


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jamesnevil303

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
If a pregnant patient does not respond to nonpharmacologic therapy, antacids are first-line therapy, and patients should choose a nonsystemic low-sodium product such as hydroxymagnesium aluminate (Magaldrate). Alka-Seltzer contains baking soda and can be harmful during pregnancy. A histamine2 receptor antagonist, such as Pepcid, may be used, but only if recommended by the provider. TUMS contain calcium, which can be constipating during pregnancy.

Answer to Question 2

ANS: C
Bulk-forming laxatives, like psyllium, should be tried first because they are not systemically absorbed. Bisacodyl and senna have systemic effects. Mineral oil can reduce the absorption of fat-soluble vitamins.


ericka1

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Reply 2 on: Jul 23, 2018
Excellent

helenmarkerine

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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