A nurse is providing care to a female client who is 32-weeks pregnant. The client
v v v v v v v v v v v v v v
has been diagnosed with hypertension and will begin prescribed pharmacological
v v v v v v v v v v
treatment. The nurse will clarify which medication if observed in the client’s
v v v v v v v v v v v v
record?...
v
A
Spironolactone
B
Methyldopa
C
Lisinopril Correct Answer v v
D
Hydralazine
Question Explanation v
Rationale: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used in the
v v v v v v v v v v
treatment of hypertension. ACE inhibitors are pregnancy risk category D and are
v v v v v v v v v v v v
contraindicated during the second and third trimesters of pregnancy. Spironolactone
v v v v v v v v v v
and methyldopa are pregnancy risk category B and have been used routinely and safely
v v v v v v v v v v v v v v
during pregnancy. Hydralazine is a pregnancy risk category C, but its use has been
v v v v v v v v v v v v v v
proven to be safe during pregnancy.
v v v v v v
Concepts tested v
NCLEX: Pharmacological and Parenteral Therapies
v v v v
Question 2 v
identification step will the nurse verify prior to initiating the transfusion?
v v v v v v v v v v
Page 1| v v v v v
411
v
,A nurse is preparing to administer plasma to a client with a coagulation disorder. Which
v v v v v v v v v v v v v v
, A
Cross match v
B
Expiration date v
C
ABO compatibility Correct Answer
v v v
D
Hemoglobin level v
Question Explanation v
Rationale: Plasma is a blood product that needs to be typed prior to administration to
v v v v v v v v v v v v v v
avoid a reaction. Typing determines if the blood product is compatible with the client’s
v v v v v v v v v v v v v v
blood type. A cross match for antigens is only required for transfusions containing red
v v v v v v v v v v v v v v
blood cells. The expiration date is an important component to check prior to
v v v v v v v v v v v v v
administration. However, this does not identify the client. Plasma does not contain red
v v v v v v v v v v v v v
blood cells, so checking the hemoglobin level is not indicated and does not identify the
v v v v v v v v v v v v v v v
client.
v
Concepts tested v
NCLEX: Pharmacological and Parenteral Therapies
v v v v
Question 3 v
The nurse is preparing to administer newly prescribed intravenous phenytoin to a client.
v v v v v v v v v v v v
When reviewing the client’s medical record, which prescription should the nurse
v v v v v v v v v v v
vquestion?
A
Continuous infusion of dextrose 5% in 0.9% saline Correct Answer
v v v v v v v v v
B
NPH insulin 40 units before meals
v v v v v
C
Labetalol 100 mg orally twice per day Your Answer
v v v v v v v v
identification step will the nurse verify prior to initiating the transfusion?
v v v v v v v v v v
D Page 1|
v v v v v
411
v
,
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