Author Question: The mucous membranes inside the nose allow for fairly rapid systemic absorption of overriding of a ... (Read 93 times)

fnuegbu · **on:** Jun 27, 2018

The mucous membranes inside the nose allow for fairly rapid systemic absorption of overriding of a variety of medications. Antidiuretic hormone (DDAVP) is an appropriate medication to administer intranasally. Is this statement true or false?

Indicate whether the statement is true or false

Question 2

The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is

a. Uterine atony
b. Uterine inversion
c. Vaginal hematoma
d. Vaginal laceration

Kingjoffery · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

T
This is correct. Other medications that can be given by this route include fentanyl,
ketamine, versed, and lorazepam. Otherwise, nose drops and sprays are used for localized
treatment of the nasal passages.

Answer to Question 2

A
Feedback
A Uterine atony is marked hypotonia of the uterus. It is the leading cause of
postpartum hemorrhage.
B Uterine inversion may lead to hemorrhage, but it is not the most likely source of
this patient's bleeding. Furthermore, if the woman was experiencing a uterine
inversion, it would be evidenced by the presence of a large, red, rounded mass
protruding from the introitus.
C A vaginal hematoma may be associated with hemorrhage. However, the most
likely clinical finding would be pain, not the presence of profuse bleeding.
D A vaginal laceration may cause hemorrhage; however, it is more likely that
profuse bleeding would result from uterine atony. A vaginal laceration should be
suspected if vaginal bleeding continues in the presence of a firm, contracted
uterine fundus.