What medication should a nurse administer to a client at 14 weeks of gestation with hyperemesis gravidarum?

Vitamin B6, also known as pyridoxine, is commonly recommended for the treatment of nausea and vomiting in pregnancy, particularly in cases of hyperemesis gravidarum. At 14 weeks of gestation, the client may be experiencing significant symptoms that interfere with daily activities and well-being. Vitamin B6 is an effective and safe option for managing these symptoms, as it can help reduce the severity of nausea and improve the overall quality of life for those affected by hyperemesis gravidarum.

This particular medication works by modulating neurotransmitter activity in the brain, particularly in the areas associated with vomiting. Moreover, it is advisable to use non-pharmacological interventions alongside vitamin B6, such as dietary modifications and hydration, to further support the client.

In considering other medications, digoxin is primarily used for heart conditions and is not indicated for treating nausea during pregnancy. Calcium gluconate is utilized in conditions involving low calcium levels or certain drug overdoses, not nausea or vomiting. Propranolol is a beta-blocker used to manage hypertension and certain cardiac conditions, rather than being indicated for hyperemesis gravidarum. Thus, the use of vitamin B6 stands out as the most appropriate choice in this scenario for alleviating