A patient with an internal fetal monitor catheter has received IV ...

[Alygatorr01285]

A patient with an internal fetal monitor catheter has received IV stadol for pain relief. Which changes on the monitor should the nurse expect?
 
  1. Early decelerations
  2. Late decelerations
  3. Diminished short- and long-term variability
  4. Accelerations after contractions

Question 2

The nurse would expect to administer this drug for a sickle-cell pain crisis
 
  1. Morphine sulfate (Duramorph)
  2. Meperidine (Demerol)
  3. Acetaminophen (Tylenol)
  4. Ibuprofen (Advil)

[Carissamariew]

Answer to Question 1

3
Rationale 1: Early decelerations are not related to the use of stadol.
Rationale 2: Late decelerations are not related to the use of stadol.
Rationale 3: After the patient receives a pain medication, the variability decreases.
Rationale 4: Accelerations after contractions are not related to the use of stadol.

Answer to Question 2

Answer:1
Rationale: The pain during a sickling crisis is severe,and morphine is needed for pain control around the clock or by patient-controlled analgesia (PCA). Meperidine is not used for pain control for clients with sickle-cell pain crisis because it could cause seizures. Acetaminophen or ibuprofen are used for mild pain and would not be effective for the severe pain experienced by a child in sickle-cell pain crisis.

[Alygatorr01285]

Thank you

[Carissamariew]

Happy to help you