The nurse is caring for a patient who was given meperidine ...

[TFauchery]

The nurse is caring for a patient who was given meperidine (Demerol) during labor. In planning care for the patient's newborn, the nurse should closely assess the newborn for:
 
  1. Body temperature.
  2. Stool pattern.
  3. Bilirubin level.
  4. Urine output.

Question 2

The nurse working with an infertile couple has made the following diagnosis: Sexual Dysfunction related to decreased libido. Which assessment is most likely the reason for this diagnosis?
 
  1. The couple have established a set schedule for having sexual intercourse.
  2. The couple have been married for more than 10 years.
  3. The couple live with his parents.
  4. The couple have close friends who gave birth to a baby within the last year.

[atrochim]

Answer to Question 1

1
Rationale 1: Certain drugs, such as meperidine (Demerol), can prevent the metabolism of brown fat. Therefore, when meperidine is given to a laboring woman, the newborn might be at risk for hypothermia.
Rationale 2: Meperidine (Demerol) does not affect the stool pattern.
Rationale 3: Meperidine (Demerol) does not affect the bilirubin level.
Rationale 4: Meperidine (Demerol) does not affect urine output.

Answer to Question 2

1
Rationale 1: This will often lead to sex that is not satisfying.
Rationale 2: Years of marriage do not have anything to do directly with decreased libido.
Rationale 3: Living with his parents does not necessarily have anything to do with decreased libido.
Rationale 4: It is sometimes hard to see others have babies, but this should not contribute to decreased libido.