ATI RN
Drugs Affecting the Female Reproductive System Quizlet Exam Questions
Question 1 of 5
If a drug is eliminated by first-order kinetics, what remains constant?
Correct Answer: B
Rationale: First-order kinetics means the rate of drug elimination is proportional to the drug concentration. Clearance (choice B) represents the volume of plasma cleared of the drug per unit time, which remains constant in first-order kinetics. The other choices are incorrect because: A: In first-order kinetics, the amount of drug eliminated per unit time decreases as drug concentration decreases. C: The elimination half-life is independent of dose in first-order kinetics. D: Complete elimination within two half-lives is a general rule but not specific to first-order kinetics.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is preparing to administer an ophthalmic drug to a newborn. Education for the parents includes which fact about the drug?
Correct Answer: B
Rationale: Rationale: Choice B is correct as eye ointments are indeed administered in the lower conjunctival sac from the inner to the outer eye to prevent contamination. This technique ensures that the medication spreads evenly across the eye surface. Choices A, C, and D are incorrect. Choice A is incorrect as not all preterm infants receive ophthalmic drugs. Choice C is incorrect as the drug may not necessarily prevent congenital ophthalmic diseases. Choice D is incorrect as the direct Coombs test is unrelated to the administration of ophthalmic drugs in newborns.