Nokea
A nurse administering oxytocin (Pitocin) to a client should monitor the client for which of the following?
- A. Water intoxication
- B. Diarrhea
- C. Uterine rupture
- D. Headache
- E. Cardiac arrhythmias
Correct Answer: A,C,E
Rationale: A nurse should monitor a client receiving oxytocin (Pitocin) for the following adverse reactions: fetal bradycardia, uterine rupture, uterine hypertonicity, nausea, vomiting, cardiac arrhythmias, and anaphylactic reactions. Serious water intoxication (fluid overload, fluid volume excess) may occur, particularly when the drug is administered by continuous infusion and the patient is receiving fluids by mouth.
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A nurse is preparing to administer oxytocin (Pitocin) intravenously to a client based on the understanding that this drug is used for which of the following reasons?
- A. Gestational diabetes and a large fetus
- B. Rh problems
- C. Premature rupture of membranes
- D. Uterine inertia
- E. Pregnancy-induced hypertension
Correct Answer: A,B,C,D,E
Rationale: A nurse may be asked to administer oxytocin (Pitocin) intravenously to a client with the following: gestational diabetes and a large fetus, Rh problems, premature rupture of membranes, uterine inertia, or pregnancy-induced hypertension.
A nurse is administering magnesium to a client as part of therapy to halt preterm labor. The nurse is alert to the possibility of increased central nervous system depression if the client is also receiving which of the following?
- A. Fentanyl (Duragesic)
- B. Glyburide (DiaBeta)
- C. Lorazepam (Ativan)
- D. Meperidine (Demerol)
- E. Enalapril (Vasotec)
Correct Answer: A,C,D
Rationale: The administration of magnesium with the following drugs results in increased central nervous system depression: opioids (fentanyl and meperidine), sedatives (lorazepam), and analgesics.
When explaining the action of oxytocin to a client, the nurse integrates knowledge of which of the following about the drug?
- A. Secretion by the anterior pituitary gland
- B. Uterine-stimulating properties
- C. Diuretic effects
- D. Vasopressor effects
- E. Stimulation of milk ejection
Correct Answer: B,D,E
Rationale: Oxytocin is a hormone secreted by the posterior pituitary gland that has uterine-stimulating properties, exerts antichuretic and vasopressor effects, and stimulates milk ejection.
When monitoring uterine contractions of a client receiving an oxytocin infusion, the nurse should notify the primary health care provider immediately if which of the following occur?
- A. No palpable relaxation of the uterus
- B. Significant change in client's blood pressure
- C. Significant change in fetal heart rhythm
- D. Significant change in rhythm of uterine contractions
- E. Significant change in frequency of uterine contractions
Correct Answer: A,B,C,D,E
Rationale: When monitoring uterine contractions, the nurse should notify the physician immediately if any of the following occur: a significant change in fetal heart rate or rhythm; a marked change in the frequency, rate, or rhythm of uterine contractions; uterine contractions lasting longer than 60 seconds; contractions occurring more frequently than every 2 or 3 minutes; no palpable relaxation of the uterus; a marked increase or decrease in the client's blood pressure or pulse; or any significant change in the client's general condition.
After teaching a group of students about uterine drugs, the instructor determines that the teaching was successful when the students identify which of the following as oxytocic drugs?
- A. Oxytocin (Pitocin)
- B. Methylergonovine (Methergine)
- C. Estradiol (Estrace)
- D. Indomethacin (Indocin)
- E. Misoprostol (Cytotec)
Correct Answer: A,B,E
Rationale: Oxytocin (Pitocin), methylergonovine (Methergine), and misoprostol (Cytotec) are classified as oxytocic drugs. Indomethacin is a tocolytic. Estradiol is an estrogen.