Author Question: A client has received a special formulation of oxytocin for intranasal use. The nurse understands ... (Read 16 times)

corkyiscool3328 · **on:** Jul 23, 2018

A client has received a special formulation of oxytocin for intranasal use. The nurse understands that the rationale for using this formulation of the drug involves which effect?

A) Antistimulating properties on the uterus
B) Diuretic effect
C) Stimulation of the milk ejection reflex
D) Control of antepartum bleeding

Question 2

A nurse is administering magnesium to a client as part of therapy to halt preterm labor. The nurse is alert to the possibility of increased central nervous system depression if the client is also receiving which of the following? Select all that apply.

A) Fentanyl (Duragesic)
B) Glyburide (DiaBeta)
C) Lorazepam (Ativan)
D) Meperidine (Demerol)
E) Enalapril (Vasotec)

mmj22343 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
Feedback:
Oxytocin, when administered intranasally, stimulates the milk ejection (milk letdown) reflex. Oxytocin has uterine-stimulating properties, not antistimulating properties, on the uterus. Tocolytics have an antistimulating effect on the uterus. Oxytocin has an antidiuretic effect, which might lead to a danger of excessive fluid volume (water intoxication), and not a diuretic effect. Oxytocin is given IM during the third stage of labor to produce uterine contractions and control postpartum, and not antepartum, bleeding and hemorrhage.

Answer to Question 2

Ans: A, C, D
Feedback:
The administration of magnesium with the following drugs results in increased central nervous system depression: opioids (fentanyl and meperidine), sedatives (lorazepam), and analgesics.