The health care provider orders PGE2 for a woman to help evacuate ...

[Pea0909berry]

The health care provider orders PGE2 for a woman to help evacuate the uterus following a spontaneous abortion. Which of the following would be most important for the nurse to do?
 
  A) Use clean technique to administer the drug.
  B) Keep the gel cool until ready to use.
  C) Maintain the client for 1/2 hour after administration.
  D) Administer intramuscularly into the deltoid area.

Question 2

The nurse is concerned that a pregnant patient will have a complication from a medication after a cesarean birth. For which prescribed medications are complications most likely to occur? (Select all that apply.)
 
  A) Insulin
  B) Anticoagulant
  C) Antihypertensive
  D) Antianxiety agent
  E) Beta2-adrenergic blocker

[jliusyl]

Answer to Question 1

C
Feedback:
When PGE2 is ordered, the gel should come to room temperature before administering it. Sterile technique should be used and the client should remain supine for 30 minutes after administration. RhoGAM is administered intramuscularly into the deltoid area.

Answer to Question 2

A, B, C, D
Feedback:
Some medications can cause complications with cesarean births. Insulin may lead to hypoglycemia during labor or hyperglycemia if a dextrose solution is provided. Anticoagulants may cause hemorrhage due to lack of hemostasis during surgery. Antihypertensives may result in hypotension after anesthesia. Antianxiety agents may cause hypotension after anesthesia. There is no evidence to suggest that beta2-adrenergic blockers will cause a complication after a cesarean birth.

[Pea0909berry]

Excellent

[FergA]

TYSM