A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of labor. Which of the following findings is a contraindication for administration of this medication?

Preeclampsia

Transverse fetal lie

Post-term pregnancy

Intrauterine growth restriction

Answer and Explanation

The Correct Answer is B

A. Preeclampsia: Preeclampsia is not a contraindication for the administration of misoprostol for induction of labor. In some cases, it may even be indicated to prevent complications associated with continuing the pregnancy.
B. Transverse fetal lie: A transverse fetal lie, where the baby is positioned sideways in the uterus, is a contraindication for the administration of misoprostol for induction of labor. Misoprostol is contraindicated when the fetal presentation is not cephalic (head down) due to the risk of complications, including cord prolapse.
C. Post-term pregnancy: Misoprostol is commonly used for induction of labor in post-term pregnancies, where the pregnancy has extended beyond 42 weeks. It helps initiate uterine contractions to stimulate labor and reduce the risk of complications associated with prolonged gestation.
D. Intrauterine growth restriction: Intrauterine growth restriction is not a contraindication for the administration of misoprostol for induction of labor. In such cases, the decision to induce labor would depend on various factors related to fetal well-being and maternal health.

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Correct Answer is ["2250"]

Explanation

To calculate the total volume of IV fluid intake for the client, we need to add up the volumes of each type of fluid administered.
For 0.45% sodium chloride IV at 500 mL/hr for 3 hr:
Volume = Rate × Time = 500 mL/hr × 3 hr = 1500 mL
For 0.45% sodium chloride IV at 200 mL/hr for 3 hr:
Volume = Rate × Time = 200 mL/hr × 3 hr = 600 mL
For dextrose 5% in water at 75 mL/hr for 2 hr:
Volume = Rate × Time = 75 mL/hr × 2 hr = 150 mL
Total volume = 1500 mL + 600 mL + 150 mL = 2250 mL
Therefore, the nurse should document a total volume of 2250 mL for the client's IV fluid intake.

A. Initiate IV access on the palmar side of the client's wrist. B. Choose the client's dominant arm for IV access whenever possible. C. Select a site proximal to previous venipuncture sites. D. Insert a larger gauge IV catheter to prevent phlebitis.

Correct Answer is C

Explanation

A. Initiate IV access on the palmar side of the client's wrist. - This option is not recommended because veins on the palmar side of the wrist are smaller and more prone to infiltration and nerve damage. The dorsal aspect of the hand or forearm is typically preferred for peripheral IV access due to larger veins and decreased risk of complications.
B. Choose the client's dominant arm for IV access whenever possible. - While it may be convenient to select the dominant arm for IV access, it is not always the best choice. Factors such as previous venipunctures, condition of veins, and patient comfort should be considered when selecting the site for IV insertion.
C. Select a site proximal to previous venipuncture sites. - This is the correct action. Choosing a site proximal (above) to previous venipuncture sites helps preserve veins and reduces the risk of venous sclerosis or phlebitis. It allows for better vein integrity and decreases the likelihood of complications associated with repeated punctures in the same area.
D. Insert a larger gauge IV catheter to prevent phlebitis. - Inserting a larger gauge IV catheter is not necessary to prevent phlebitis. In fact, using a larger gauge catheter may increase the risk of phlebitis and other complications. The appropriate gauge of the catheter depends on the client's condition, the type of fluids or medications to be administered, and the condition of the veins.

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A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of labor. Which of the following findings is a contraindication for administration of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2250"]

Explanation

A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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