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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Related Questions
Correct Answer is D
Explanation
Choice A reason: Ensuring that the rate of the client's terbutaline infusion does not exceed 18 mg/hr is incorrect. The prescription specifies the maximum rate as 30 mcg/min, not 18 mg/hr. The units are different, and the prescribed rate is much lower than 18 mg/hr. Terbutaline is typically administered in micrograms per minute, and the nurse should follow the specific rate and titration instructions provided in the prescription.
Choice B reason: Weighing the client to determine the rate of the terbutaline infusion is not necessary according to the prescription. The dosage and titration instructions are based on the number of uterine contractions and not on the client's weight. While weight-based dosing is common for some medications, this prescription provides clear guidelines for adjusting the infusion rate based on the client's contraction pattern.
Choice C reason: Increasing the drip rate of the infusion by 5 mL/hr when titrating the dosage is incorrect. The prescription specifies increasing the infusion rate by 5 mcg/min every 10 minutes until contractions stop, not by 5 mL/hr. The nurse should follow the prescribed titration instructions, which are based on micrograms per minute, to ensure the correct dosage and avoid potential complications.
Choice D reason: This is the correct interpretation of the prescription. The nurse should initiate the infusion of terbutaline if the client has five or more contractions in 1 hour. The prescription indicates that the infusion should start at 2.5 mcg/min and be increased by 5 mcg/min every 10 minutes until the contractions stop, with a maximum rate of 30 mcg/min. This approach helps manage uterine contractions effectively and ensures the client receives the appropriate dosage based on their contraction pattern.
Correct Answer is ["2"]
Explanation
To calculate the number of tablets to administer, you need to divide the prescribed dose by the available dose. In this case, the prescribed dose is 0.25 mg and the available dose is 0.125 mg. Therefore, the number of tablets is:
0.25 mg / 0.125 mg = 2 tablets
The nurse should administer 2 tablets of digoxin 0.125 mg to the client.
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