This topic contains a solution. Click here to go to the answer

Author Question: A pregnant patient asks the nurse about the safe use of medications during the third trimester. What ... (Read 63 times)

Collmarie

  • Hero Member
  • *****
  • Posts: 569
A pregnant patient asks the nurse about the safe use of medications during the third trimester. What will the nurse tell her about drugs taken at this stage?
 
  a. They may need to be given in higher doses if they undergo renal clearance.
  b. They require lower doses if they are me-tabolized by the liver.
  c. They are less likely to cross the placenta and affect the fetus.
  d. They are more likely to cause anatomical defects if they are teratogenic.

Question 2

A nurse preparing to administer morning medications notes that a patient with a history of hypertension has been prescribed spironolactone Aldactone.
 
  The nurse assesses the patient and notes dyspnea, bilateral crackles, and pitting edema in both feet. Which intervention is appropri-ate? a. Administer the medications as ordered.
  b. Ask the patient about the use of salt subs-titutes.
  c. Contact the provider to request an order for serum electrolytes.
  d. Request an order for furosemide Lasix.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ky860224

  • Sr. Member
  • ****
  • Posts: 350
Answer to Question 1

A
In the third trimester, drugs excreted by the kidneys may have to be increased, because renal blood flow is doubled, the glomerular filtration rate is increased, and drug clearance is accele-rated. Hepatic metabolism increases, meaning that drugs metabolized by the liver must be in-creased. All drugs can cross the placenta. Anatomic defects are more likely to occur in the em-bryonic period, which is in weeks 3 through 8 in the first trimester.

Answer to Question 2

D
Spironolactone takes up to 48 hours for its effects to develop, so it should not be used when the patient needs immediate diuresis. This patient has shortness of breath, crackles, and edema and needs a short-acting diuretic, such as furosemide. Asking the patient about the use of salt substi-tutes is not indicated. The patient does not need assessment of serum electrolytes.




Collmarie

  • Member
  • Posts: 569
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review


dawsa925

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

For a complete list of videos, visit our video library