Nokea
A nurse prepares to administer oxytocin (Pitocin) intramuscularly during the third stage of labor for which of the following reasons?
- A. Production of uterine contractions
- B. Stimulation of milk ejection
- C. Control of postpartum bleeding
- D. Initiation of labor
- E. Control of postpartum hemorrhage
Correct Answer: A,C,E
Rationale: Oxytocin (Pitocin) may be given intramuscularly during the third stage of labor to produce uterine contractions and control postpartum bleeding and hemorrhage.
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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 should monitor a client for which of the following adverse reactions during the administration of tocolytic therapy to prevent uterine contractions?
- A. Fatigue
- B. Diaphoresis
- C. Diplopia
- D. Hypertension
- E. Prolonged vaginal bleeding
Correct Answer: A,B,C
Rationale: A nurse should monitor a client for the following adverse reactions during tocolytic therapy to prevent uterine contractions: fatigue, flushing, headache, diplopia, diaphoresis, hypotension, depressed reflexes, and flaccid paralysis.
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.
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.
A client is receiving methylergonovine (Methergine). After administering the drug, the nurse would be alert for which of the following?
- A. Chest pain
- B. Hypoglycemia
- C. Increase in blood pressure
- D. Diarrhea
- E. Water intoxication
Correct Answer: A,C,D
Rationale: Adverse reactions associated with methylergonovine include temporary chest pain, hypertension, diarrhea, nausea, vomiting, dizziness, and headache.