This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A pregnant patient receiving intravenous oxytocin for 1 hour has contractions lasting 80 seconds. ... (Read 56 times)

rlane42

  • Hero Member
  • *****
  • Posts: 594
on: Jun 27, 2018
A pregnant patient receiving intravenous oxytocin for 1 hour has contractions lasting 80 seconds. What should the nurse do first for this patient?
 
  A) Discontinue the oxytocin infusion.
  B) Slow the infusion to below 10 gtt/minute.
  C) Increase the flow rate of the main line infusion.
  D) Continue to monitor contraction duration every 2 hours.

Question 2

After an hour of oxytocin therapy, a patient in labor experiences headache and vomiting. What should the nurse do?
 
  A) Assess the vagina for full dilation.
  B) Notify the physician and stop the infusion.
  C) Instruct the patient to breathe in and out rapidly.
  D) Administer oral orange juice for added potassium.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jordangronback

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jun 27, 2018
Answer to Question 1

A
Feedback:
Contractions should last no longer than 70 seconds. If contractions become longer in duration, stop the IV infusion and seek help immediately. The infusion needs to be discontinued and not slowed. Increasing the flow rate could cause fetal distress. The patient needs to be assessed more frequently than every 2 hours.

Answer to Question 2

B
Feedback:
A side effect of oxytocin is that it can result in decreased urine flow, possibly leading to water intoxication. This is first manifested by headache and vomiting. If these danger signs are observed in the patient during induction of labor, report them immediately and halt the infusion. Assessing the vagina for dilation, increasing respirations, and administering orange juice for potassium will not help with water intoxication.


rlane42

  • Member
  • Posts: 594
Reply 2 on: Jun 27, 2018
Great answer, keep it coming :)

Joy Chen

  • Member
  • Posts: 354
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
A patient centered care approach A patient centered care approach
Patient teaching: nail assessment Patient teaching: nail assessment
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
(A) Dilation stage: uterine contractions cause dilation of the cervix; (B) expulsion stage: birth, ... (A) Dilation stage: uterine contractions cause dilation of the cervix; (B) expulsion stage: birth, ...
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ... Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
Video: Bipolar Disorder

For a complete list of videos, visit our video library