The nurse is caring for a client receiving oxytocin for induction ...

[maegan_martin]

The nurse is caring for a client receiving oxytocin for induction of labor. Fetal heart rate changes have occurred, suggesting the fetus is not tolerating the procedure. What is the nurse's priority action?
 
  a. Stop the oxytocin immediately.
  b. Assure the mother that everything will be all right.
  c. Contact the physician.
  d. Turn the mother to her left side.

Question 2

A child with Turner's syndrome tells the nurse she feels different from her peers. Which response should the nurse give?
 
  1. Tell me more about the feelings you are experiencing..
  2. These feelings are not unusual, and should pass soon..
  3. You'll start to grow soon, so don't worry..
  4. You seem to be upset about your disease..

[briseldagonzales]

Answer to Question 1

A
If fetal heart rate changes have occurred, suggesting the fetus is not tolerating the procedure, the nurse's priority action is to stop the oxytocin immediately. Telling the mother that everything will be all right is providing false reassurance. The physician should be contacted, but stopping the infusion is the priority.

Answer to Question 2

1
Rationale:
1. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings.
2. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Responding that the feelings will pass would not be therapeutic.
3. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Responding that the client will start to grow would not be therapeutic.
4. The lack of growth and sexual development associated with Turner's syndrome present problems with psychosocial development. Self-image, self-consciousness, and self-esteem are affected by the girl's perception of her body and how she differs from peers. The nurse should encourage more expression of the girl's feelings. Merely acknowledging that she is upset about the disease would not be therapeutic.