ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
The nurse understands the differences between drug excretion in children and that in adults. With this knowledge, what does the nurse consider when administering drugs to children?
Correct Answer: D
Rationale: The correct answer is D because children tend to have slower excretion of drugs compared to adults due to their immature renal and hepatic function. This can lead to drug accumulation in their system, which increases the risk of toxicity. Therefore, the nurse must prioritize assessing for signs of drug accumulation when administering medications to children. Choice A is incorrect because not all children require higher doses of drugs; dosing is based on factors such as weight and age. Choice B is incomplete. Choice C is incorrect as children may not always excrete drugs rapidly; it depends on the drug and the child's individual factors.
Question 2 of 5
A 14-year-old girl requests a vaccination for human papillomavirus. After the nurse administers the first dose, which of the following is important to include in the patient's teaching?
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A patient in her first trimester of pregnancy calls the nurse to ask for suggestions on decreasing nausea in the morning when she awakens. Which nonpharmacologic measures would the nurse be aware of to decrease nausea and vomiting? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Eating dry toast before rising. Dry toast can help absorb stomach acid and provide a bland source of nutrition, reducing nausea. Other choices are incorrect because eating high-fat foods (D) can worsen nausea, eating a high-protein bedtime snack (C) may not address morning nausea, and while eating small frequent meals (B) can help, it is not specific to morning nausea upon waking.
Question 4 of 5
Which assessment finding is most concerning when examining a client in preterm labor who is receiving magnesium sulfate?
Correct Answer: C
Rationale: The correct answer is C, loss of patellar reflexes. This is concerning because it indicates magnesium sulfate toxicity, which can lead to respiratory depression, cardiac arrest, and maternal death. The other choices are less concerning: A (lethargy) is an expected side effect, B (warmth) is a common sensation with magnesium sulfate, and D (positive clonus) is an expected finding with magnesium sulfate therapy. It is essential to monitor for signs of magnesium toxicity to prevent serious complications.
Question 5 of 5
A young adolescent—gravida 1, para 0—is admitted to labor and delivery with preterm labor at 29 weeks' gestation. Which nursing interventions would the nurse include? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Administration of antenatal glucocorticoid. This intervention is recommended for women at risk of preterm birth before 34 weeks to promote fetal lung maturity. Glucocorticoids help accelerate fetal lung maturation by promoting the production of surfactant. This reduces the risk of respiratory distress syndrome in preterm infants. Choice B: Ordering a complete liver function profile is not directly related to managing preterm labor at 29 weeks' gestation. Choice C: Bed rest in the left lateral position is not a standard intervention for preterm labor and may not be supported by evidence-based practice. Choice D: Administration of bolus intravenous fluids is not a standard intervention for preterm labor. Fluid administration may be indicated if the patient is dehydrated or has other specific medical indications, but it is not a routine intervention for preterm labor.