ATI RN
Drugs Affecting the Female Reproductive System Quizlet Exam Questions
Question 1 of 5
All of the following statements related to the binding of drugs by plasma proteins are correct EXCEPT:
Correct Answer: D
Rationale: The correct answer is D because bound drug is not the pharmacologically active part of the drug. The active form of a drug is the unbound fraction that can exert its pharmacological effects. When a drug is bound to plasma proteins, it is unable to exert its pharmacological action until it becomes unbound. Choice A is true because bound drug cannot diffuse into tissues. Choice B is correct because binding to plasma proteins decreases the apparent volume of distribution. Choice C is also true as displacement of bound drug can lead to increased effects of the drug due to increased free drug concentration.
Question 2 of 5
The nurse is teaching a pregnant client how to decrease the gastrointestinal distress she experiences with prenatal vitamins. Which instruction would the nurse provide?
Correct Answer: B
Rationale: The correct answer is B: Eat when she takes her vitamins. This is because taking prenatal vitamins on an empty stomach can lead to gastrointestinal distress. Eating food along with the vitamins can help reduce the chances of nausea and other digestive issues. Choice A is incorrect as taking vitamins between meals may worsen gastrointestinal distress. Choice C, drinking orange juice, is incorrect as the acidity of the juice may exacerbate the stomach issues. Choice D, drinking milk, is also incorrect as dairy products can sometimes aggravate gastrointestinal problems. Eating a small snack or meal when taking prenatal vitamins is the most effective way to reduce discomfort.
Question 3 of 5
A primigravida client, 8 gestational weeks, is at the prenatal clinic for her first examination with complaints of nausea and vomiting 'every morning.' Which comment made by the client would indicate the need for further instruction?
Correct Answer: D
Rationale: The correct answer is D because chamomile tea is not recommended during pregnancy due to its potential to cause uterine contractions. A: Ginger cookies can help with nausea. B: Eating dry crackers before getting up can alleviate morning sickness. C: Avoiding foods with strong smells may reduce nausea. Therefore, D is the only choice that could potentially harm the pregnancy.
Question 4 of 5
A client received butorphanol 2 mg intravenously 10 minutes before delivery. Which nursing action is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Have naloxone available. Butorphanol is an opioid agonist-antagonist that can cause respiratory depression in the mother and baby. Naloxone is an opioid antagonist used to reverse opioid effects, such as respiratory depression. Having naloxone available is crucial in case the client experiences respiratory depression post-delivery due to the butorphanol administration. Administering butorphanol subcutaneously (A) is not recommended as the client has already received it intravenously. Administering intravenous fluid bolus (C) may not directly address the potential respiratory depression caused by butorphanol. Placing oxygen 10 L by nasal cannula (D) may help with oxygenation but does not directly address the opioid effects of butorphanol.
Question 5 of 5
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.