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 ["6.7"]
Explanation
The question is asking for the volume of ferrous sulfate syrup that the nurse should administer per dose. The desired dose is 120 mg and the available syrup has a concentration of 90 mg/5 mL.
Let’s calculate this step by step:
Step 1: Identify the desired dose, which is 120 mg.
Step 2: Identify the concentration of the available medication, which is 90 mg/5 mL.
Step 3: Set up the equation to solve for the volume (V) in mL. The equation is (Desired dose ÷ Concentration) × Volume of the concentration = V.
Step 4: Substitute the known values into the equation: (120 mg ÷ 90 mg) × 5 mL = V.
Step 5: Solve the equation: V = (1.33) × 5 mL = 6.67 mL.
So, the nurse should administer approximately 6.7 mL of the ferrous sulfate syrup per dose.
Correct Answer is ["167"]
Explanation
To find the infusion rate in mL/hr, divide the total volume of fluid by the total time of infusion.
Total volume of fluid = 1,000 mL Total time of infusion = 6 hr
Infusion rate = 1,000 mL / 6 hr = 166.67 mL/hr
Round the answer to the nearest whole number: 167 mL/hr
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