A client is to have an emergency cesarean delivery due to late fetal decelerations. Before surgery, the nurse administers an antacid, citric acid/sodium citrate. Which patient response would indicate effective patient teaching regarding this drug?

Correct Answer: B

Rationale: The correct answer is B: "The drug will neutralize the contents in my stomach." Rationale: 1. Citric acid/sodium citrate is an antacid that helps neutralize stomach acid. 2. Before surgery, neutralizing stomach acid can help prevent aspiration during anesthesia. 3. Aspiration of stomach contents can lead to serious complications like pneumonia. 4. Therefore, teaching that the drug will neutralize stomach contents is crucial for the patient's safety. Summary of other choices: A: Citric acid/sodium citrate does not prevent infection after surgery. C: The drug does not affect the need for pain medication post-surgery. D: While the drug may help prevent vomiting, the primary reason for its administration is to neutralize stomach acid.

Correct Answer: C

Rationale: The correct answer is C because the patient's T-score of -2.0 indicates osteoporosis, which typically requires treatment with bisphosphonates to prevent further bone loss. Bisphosphonates help to increase bone density and reduce the risk of fractures in patients with osteoporosis. Option A is incorrect as calcium alone may not be sufficient to treat osteoporosis without other medications. Option B is incorrect because while weight-bearing exercises are beneficial for bone health, they are not enough to treat osteoporosis alone. Option D is incorrect as it only includes calcium and vitamin D supplementation, which may not be enough for a patient with osteoporosis.

Correct Answer: A

Rationale: The correct answer is A because lower extremity edema associated with androgen therapy is not increased by corticosteroids. Corticosteroids can actually help reduce inflammation and swelling. Therefore, it is important for the nurse to educate the patient that corticosteroids do not exacerbate edema from androgen therapy. For the incorrect choices: B is incorrect because both men and women can be prescribed androgen replacement therapy if clinically indicated. C is incorrect because androgen therapy is not safe in pregnancy and can have harmful effects on the fetus. D is incorrect because androgen therapy can indeed affect glucose levels, cholesterol, and thyroid and liver functioning.

Correct Answer: C

Rationale: The correct answer is C: hCG. Human Chorionic Gonadotropin (hCG) is produced by the developing embryo and maintains the corpus luteum during early pregnancy. It stimulates the production of progesterone by the corpus luteum, which is essential for maintaining the uterine lining to support the developing embryo. Progesterone helps prevent menstruation and supports the pregnancy. Estrogen (choice B) plays a role in the menstrual cycle but does not specifically maintain the corpus luteum. LH (choice D) is responsible for ovulation but does not maintain the corpus luteum. Therefore, hCG is the correct choice as it directly supports the function of the corpus luteum during early pregnancy.

Correct Answer: B

Rationale: The correct answer is B: Follicular phase. This phase of the ovarian cycle is characterized by the development and maturation of ovarian follicles, which contain the eggs. During this phase, the primary follicle develops into the secondary and then the mature Graafian follicle. This is when follicle-stimulating hormone (FSH) stimulates the growth of the follicles. The other choices, such as A (Luteal phase), C (Secretory phase), and D (Proliferative phase), do not involve follicle growth. The luteal phase follows ovulation and is characterized by the development of the corpus luteum. The secretory phase is part of the uterine cycle, involving endometrial preparation for implantation. The proliferative phase is also part of the uterine cycle, involving endometrial thickening under the influence of estrogen.