Nokea
A patient is receiving oxytocin to induce labor. During administration of this medication, the nurse will also implement which action?
- A. Giving magnesium sulfate along with the oxytocin
- B. Administering the medication in an intravenous (IV) bolus
- C. Administering the medication with an IV infusion pump
- D. Monitoring fetal heart rate and maternal vital signs every 2 hours
Correct Answer: C
Rationale: Oxytocin is administered via an IV infusion pump to ensure controlled delivery and prevent overdose. Magnesium sulfate is not co-administered, bolus administration is unsafe, and monitoring should be continuous, not every 2 hours.
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The nurse is teaching a patient about the adverse effects of fertility drugs such as clomiphene. Which is a potential adverse effect of this drug?
- A. Headache
- B. Drowsiness
- C. Dysmenorrhea
- D. Hypertension
Correct Answer: A
Rationale: Clomiphene can cause headaches as a side effect, along with vomiting, restlessness, and urticaria. Drowsiness, dysmenorrhea, and hypertension are not typical adverse effects.
The nurse recognizes that use of estrogen drugs is contraindicated in which patient?
- A. A patient who has atrophic vaginitis
- B. A patient who has inoperable prostate cancer
- C. A woman who has just given birth and wants to prevent postpartum lactation
- D. A woman with a history of thrombophlebitis
Correct Answer: D
Rationale: Estrogen increases the risk of thromboembolism, making it contraindicated in patients with a history of thrombophlebitis. Atrophic vaginitis and inoperable prostate cancer are indications for estrogen therapy, and it is not used to prevent lactation.
The nurse is administering oxytocin. Which situation is an indication for the use of oxytocin?
- A. Decreased fetal heart rate and movements
- B. Stimulation of contractions during labor
- C. Cervical ripening near term in pregnant patients
- D. To reverse premature onset of labor
Correct Answer: B
Rationale: Oxytocin is used to stimulate uterine contractions during labor to induce or augment labor. It is also used for cervical ripening, but not to reverse preterm labor or address fetal distress.
A woman is preparing for a 10 hour trans-Pacific flight. She has been taking the SERM raloxifene for 6 months. The nurse will provide which instructions to this patient?
- A. She needs to stop taking the drug at least 72 hours before the trip.
- B. She must remember to take this drug with a full glass of water each morning.
- C. She will not take the drug while traveling on the plane.
- D. No change in how the drug is taken will be needed.
Correct Answer: A
Rationale: Raloxifene should be stopped 72 hours before prolonged immobility (e.g., long flights) to reduce the risk of thromboembolism. Continuing the drug during travel increases this risk.
An older adult female patient is receiving the progestin drug megestrol. Which is the most likely reason megestrol is ordered for this patient?
- A. Migraine headaches
- B. Osteoporosis
- C. Appetite stimulant
- D. Reduction of hot flashes
Correct Answer: C
Rationale: Megestrol is used as an appetite stimulant in conditions like cancer or AIDS-related cachexia. It is not indicated for migraines, osteoporosis, or hot flashes.