Nokea
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.
You may also like to solve these questions
A client has received a special formulation of oxytocin for intranasal use. The nurse understands that the rationale for using this formulation of the drug involves which effect?
- A. Antistimulating properties on the uterus
- B. Diuretic effect
- C. Stimulation of the milk ejection reflex
- D. Control of antepartum bleeding
Correct Answer: C
Rationale: Oxytocin, when administered intranasally, stimulates the milk ejection (milk letdown) reflex. Oxytocin has uterine-stimulating properties, not antistimulating properties, on the uterus. Tocolytics have an antistimulating effect on the uterus. Oxytocin has an antidiuretic effect, which might lead to a danger of excessive fluid volume (water intoxication), and not a diuretic effect. Oxytocin is given IM during the third stage of labor to produce uterine contractions and control postpartum, and not antepartum, bleeding and hemorrhage.
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.
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.
A nurse is preparing to administer a drug that is used to prevent uterine contractions. Which drug might the nurse be preparing to administer?
- A. Misoprostol (Cytotec)
- B. Indomethacin (Indocin)
- C. Terbutaline (Brethine)
- D. Oxytocin (Pitocin)
- E. Dinoprostone (Cervidil)
Correct Answer: B,C
Rationale: Tocolytics, like indomethacin (Indocin) and terbutaline (Brethine), are used to prevent uterine contractions. Misoprostol and oxytocin are uterine stimulants. Dinoprostone is used to ripen the cervix.
A 30-year-old pregnant woman has been prescribed oxytocin. When assessing the client's drug regimen, the nurse understands that the client is taking vasopressors. Which of the following risks is the client most susceptible to if oxytocin is administered along with vasopressors?
- A. Anaphylactic shock
- B. Hypertension
- C. Respiratory failure
- D. Heart attack
Correct Answer: B
Rationale: Combining oxytocin with vasopressor drugs increases the risk of severe hypertension. Combining oxytocin and vasopressors does not increase the risk of heart attack or respiratory failure. Anaphylactic shock is associated with a hypersensitivity reaction and does not occur with the interaction of vasopressors and oxytocin.