The nurse is caring for a laboring woman who has been given ...

[dbose]

The nurse is caring for a laboring woman who has been given oxytocin to induce labor. She is having contractions at an interval of every 2 minutes with 90 seconds duration in between. What would be the appropriate intervention in this situation?
 
  A) Encourage the woman's coach to help her with breathing exercises.
  B) Provide a back rub for the woman when the pain is at its greatest intensity.
  C) Check her pain medication preferences and administer an analgesic, if indicated.
  D) Report this emergency situation to the birth attendant.

Question 2

A client with pancreatic carcinoma complains of severe abdominal pain radiating to the back. The healthcare provider prescribes a narcotic analgesic for pain relief.
 
  What should the nurse take into account when administering pain relief medications? A) Dosage will not change with change in route of administration.
  B) Titration of the drug dosage is not necessary on discontinuation.
  C) Pain medication is unaffected by tolerance to other medications.
  D) Dosage of pain medication should be increased gradually.

[Harbringer]

Answer to Question 1

D
Feedback:
The nurse should report immediately if contractions come more often than every 2 minutes or if each contraction lasts 90 seconds or longer, because there is not sufficient relaxation time for the fetus to be well oxygenated. This event is rare during normal labor, but must be carefully watched for when oxytocin is used for labor augmentation or induction.

Answer to Question 2

D
Feedback:
The dosage of pain relief medications should be increased gradually to avoid any adverse effects. Dosage of pain relief medications will change with change in the route of administration. Gradual titration of the drug dosage is necessary on discontinuation to reduce withdrawal symptoms. Tolerance to other medications may cause clients to require higher or lower doses of pain relief medications.

[dbose]

TYSM

[duy1981999]

Excellent