A nurse is doing prenatal counseling with a client and is asked about the importance of folic acid (B9) during pregnancy. Based on the nurse's knowledge, what should be the nurse's response?
Folic acid is known to lower blood glucose in diabetic patients
Folic acid prevents neural tube defects in the developing fetus
Folic acid in the gastrointestinal system prevents celiac disease
Folic acid will prevent migraine headaches in pregnant women
The Correct Answer is B
A. Folic acid does not specifically lower blood glucose; rather, it is primarily involved in DNA synthesis and cell division.
B. Folic acid is essential during pregnancy as it significantly reduces the risk of neural tube defects, such as spina bifida and anencephaly, in the developing fetus, making it a critical nutrient for pregnant women.
C. Folic acid does not prevent celiac disease; rather, celiac disease is an autoimmune disorder related to gluten intake.
D. While some studies suggest that folic acid may have a role in reducing the frequency of migraines, it is not a primary indication during pregnancy.
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Correct Answer is B
Explanation
A. Daily weight monitoring is not specifically indicated for doxazosin, and significant weight loss is typically not a primary concern with this medication.
B. Doxazosin can cause first-dose hypotension, leading to dizziness; thus, the client should be advised to lie down after the initial dose to minimize this risk.
C. Increasing potassium intake is not necessary with doxazosin; there are no direct interactions that would warrant dietary changes regarding potassium.
D. Impaired taste is not a commonly reported side effect of doxazosin; this statement is misleading and not relevant to the medication's profile.
Correct Answer is ["B","C","E","F"]
Explanation
A. Bruising is typically related to anticoagulant effects or blood disorders and not directly tied to the desired effects of PTU.
B. Improved sleep is an indicator that hyperthyroidism symptoms, such as insomnia, are being managed effectively.
C. A decrease in anxiety can suggest effective management of hyperthyroidism, as anxiety is a common symptom of this condition.
D. Weight loss or inability to gain weight is usually a symptom of hyperthyroidism, so this statement would indicate that PTU is not achieving the desired effect.
E. A return to regular menstruation can indicate improved thyroid function, as hyperthyroidism can disrupt menstrual cycles.
F. Reduced heart rate and the absence of palpitations suggest effective management of hyperthyroidism symptoms, indicating the drug is having the desired effect.