The patient in labor receives morphine every 2 hours to manage ...

[CORALGRILL2014]

The patient in labor receives morphine every 2 hours to manage labor pain. After 22 hours of labor the woman delivers a baby boy. What is the nurse's priority action related to the newborn?
 
  A) Monitor for opioid effects.
  B) Administer naloxone.
  C) Monitor for withdrawal syndrome.
  D) Assess for congenital anomaly.

Question 2

A patient has been diagnosed with hairy cell leukemia. The patient is to begin taking interferon alfa 2b. What will the nurse include in her instructions to the patient concerning this drug?
 
  A) Avoid drinking alcohol while taking the drug.
  B) Continue to maintain maximal physical activity.
  C) Increase fluid intake while taking the drug.
  D) Treat constipation with over-the-counter laxatives.

[Zebsrer]

Answer to Question 1

A
Feedback:
Morphine, meperidine, and oxymorphone are often used for analgesia during labor. The mother should be monitored closely for adverse reactions, and, if the drug is used during a prolonged labor, the newborn infant should be monitored for opioid effects. Naloxone would only be given if the newborn displays opioid effects. Withdrawal syndrome would not be seen with less than 24 hours of use. Every newborn is assessed for congenital anomalies but this would not be related to administration of morphine to the mother and so would not be the highest priority.

Answer to Question 2

C
Feedback:
Interferon alfa 2b is metabolized in the kidney so adequate fluid intake is needed to promote metabolism and excretion of the drug as well as to minimize common adverse effects including dry skin and dizziness. Maintaining maximal physical activity is a good idea but has no relationship to the use of the drug. Fluids should be increased not decreased while taking the drug. Constipation is not an associated adverse effect of this medication.

[CORALGRILL2014]

TY

[Zebsrer]

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