Author Question: A woman who is 2 months pregnant reports having morning sickness every day and asks if she can take ... (Read 30 times)

pane00 · **on:** Jul 23, 2018

A woman who is 2 months pregnant reports having morning sickness every day and asks if she can take any medications to treat this problem. The nurse will recommend that the patient take which action first?

a. Contact the provider to discuss a possible need for intravenous fluids.
b. Contact the provider to discuss a prescription antiemetic.
c. Use nonpharmacologic measures such as saltines.
d. Take over-the-counter antiemetics such as diphenhydramine.

Question 2

The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide (Reglan) is not being used to suppress vomiting. The nurse will explain that, in children, this drug is more likely to cause which effect?

a. Excess sedation
b. Extrapyramidal symptoms
c. Paralytic ileus
d. Vertigo

firehawk60 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Pregnant women should avoid antiemetics during the first trimester of pregnancy because of possible teratogenic effects. The nurse should recommend nonpharmacologic measures such as saltines. If this is not effective, intravenous fluids may become necessary. Pregnant women should consult with their provider before taking prescription or over-the-counter antiemetics.

Answer to Question 2

ANS: B
Metoclopramide can cause extrapyramidal symptoms, and these effects are more likely in children. Children are not more prone to sedative effects, paralytic ileus, or vertigo while taking this drug.