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.
None
None
The Correct Answer is B
Choice A reason: Giving the medication each time the client saturates the perineal pad within 15 minutes is incorrect. The prescription specifies a one-time administration of oxytocin, not repeated doses. Administering the medication multiple times could lead to an overdose and potential complications, as oxytocin is a powerful drug used to control postpartum bleeding by stimulating uterine contractions.
Choice B reason: This is the correct interpretation of the prescription. The nurse should administer the medication once if the client saturates the perineal pad within 15 minutes. This means that if the client experiences heavy bleeding that results in the saturation of a perineal pad within this timeframe, the nurse should give the prescribed dose of oxytocin intramuscularly to help control the bleeding and promote uterine contractions.
Choice C reason: Waiting 15 minutes to administer the medication after the client saturates a perineal pad is incorrect. The prescription does not indicate a delay in administration. Prompt administration of oxytocin is crucial in managing postpartum hemorrhage, as delaying treatment could result in continued heavy bleeding and increased risk of complications for the client.
Choice D reason: Offering the medication now to prevent saturation of the perineal pad is also incorrect. The prescription specifies that the medication should be given in response to the saturation of the perineal pad within 15 minutes, not as a preventive measure. Administering oxytocin without the indicated condition could lead to unnecessary medication use and potential side effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Bisacodyl is a stimulant laxative that works by increasing the activity of the intestines to cause a bowel movement. It is usually used on a short-term basis to treat constipation or to empty the bowels before surgery or certain medical procedures. However, bisacodyl should not be used in postpartum clients who have had a cesarean delivery or an episiotomy, as it may cause straining and increase the risk of bleeding or infection. Therefore, the nurse should clarify this prescription with the provider and suggest an alternative laxative that is safer for postpartum clients, such as docusate sodium or psyllium.
Calcium carbonate 750 mg PO.
There is no need to clarify this prescription. Calcium carbonate is a common supplement used to provide calcium to the body, and it is typically taken orally.
Oxycodone 5 mg PO every 4 hr PRN for severe pain.
There is no need to clarify this prescription. Oxycodone is a strong opioid analgesic commonly used for severe pain management, and the specified dose and frequency are within the usual range.
Ibuprofen 600 mg PO every 6 hr PRN for moderate pain.
There is no need to clarify this prescription. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, including moderate pain. The specified dose and frequency are within the usual range.
Correct Answer is ["2"]
Explanation
Volume (mL) = Dose (mcg) / Concentration (mcg/mL) Volume (mL) = 100 mcg / 50 mcg/mL
Volume (mL) = 2 mL
Therefore, the nurse should administer 2 mL of fentanyl injection 0.05 mg/mL to the client
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