1.A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription?
Give the medication each time the client saturates the perineal pad within 15 min.
Administer the medication once if the client saturates the perineal pad within 15 min.
Wait 15 min to administer the medication after the client saturates a perineal pad.
Offer the medication now to prevent saturation of perineal pad.
The Correct Answer is B
The correct answer is Choice B.
Choice A rationale: This is incorrect because the prescription is for one time only, not for repeated doses. Giving the medication each time the client saturates the perineal pad within 15 min could cause uterine hyperstimulation, water intoxication, or hypotension1.
Choice B rationale: This is correct because the prescription is for one time only and the indication is saturation of a perineal pad in 15 min or less. This is a sign of postpartum hemorrhage, which is a common and potentially life-threatening complication of childbirth2. Oxytocin is a uterotonic agent that helps the uterus contract and reduce bleeding3.
Choice C rationale: This is incorrect because waiting 15 min to administer the medication after the client saturates a perineal pad could result in excessive blood loss and hypovolemic shock. The medication should be given as soon as possible after the indication is met.
Choice D rationale: This is incorrect because offering the medication now to prevent saturation of perineal pad is not the intended use of the prescription. The medication is for treatment, not prevention, of postpartum hemorrhage. Prophylactic oxytocin is usually given intravenously or intramuscularly during or immediately after the delivery of the placenta.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.8"]
Explanation
Dose = Desired dose / Available dose x Volume Therefore;
Dose = (56 mg / 160 mg) x 5 mL Therefore;
Dose = 0.35 x 5 mL Dose = 1.75 mL
Round to the nearest tenth: Dose = 1.8 mL
The nurse should administer 1.8 mL
Correct Answer is ["10"]
Explanation
The question is asking for the amount of docusate sodium liquid the nurse should administer per dose. The prescription is for 200 mg/day in two equally divided doses, and the liquid form of the medication is 50 mg/5 mL.
Step 1 is to determine the amount of medication needed per dose. Since the total daily dose is 200 mg and it’s divided into two doses, each dose will be 200 mg ÷ 2 = 100 mg.
Step 2 is to convert this dose from mg to mL using the concentration of the liquid medication. The concentration is 50 mg/5 mL, which means that 1 mL contains 50 mg ÷ 5 = 10 mg of the medication.
Step 3 is to calculate the volume of the medication needed for a 100 mg dose. Since 1 mL contains 10 mg, we need 100 mg ÷ 10 mg/mL = 10 mL.
So, the nurse should administer 10 mL of docusate sodium liquid per dose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.