Answer to Question 1
Correct Answer: 1
Rationale 1: Dinoprostone is approved to prepare the cervix for labor or to abort a fetus that has died.
Rationale 2: This medication is not used to induce labor.
Rationale 3: Parenteral oxytocin would not be the first drug used in this client. At 25 weeks, the cervix has not ripened, so it is not wise to begin giving a medication for uterine contractions until the cervix is ready to be stretched.
Rationale 4: Carboprost is a prostaglandin that may be used for pharmacologic abortion but usually is given for this reason only into the second trimester.
Global Rationale: Dinoprostone is approved to prepare the cervix for labor or to abort a fetus that has died.
Methylergonovine is not used to induce labor. Parenteral oxytocin would not be the first drug used in this client. At 25 weeks, the cervix has not ripened, so it is not wise to begin giving a medication for uterine contractions until the cervix is ready to be stretched. Carboprost is a prostaglandin that may be used for pharmacologic abortion but usually is given for this reason only into the second trimester.
Answer to Question 2
Correct Answer: 2
Rationale 1: The client was experiencing severe hot flashes, which most likely were interrupting the client's sleep. A report of 45 hours of sleep does not signify a good outcome from this medication.
Rationale 2: Having one to two hot flashes per day would be a good response to the medication. The client would not expect the hot flashes to completely disappear.
Rationale 3: Headaches are a significant side effect, which would not indicate a good outcome statement.
Rationale 4: Though improvement in mood might be a result of this medication, the client's goal would have been related to relief from hot flashes.
Global Rationale: Having one to two hot flashes per day would be a good response to the medication. The client would not expect the hot flashes to completely disappear. The client was experiencing severe hot flashes, which most likely were interrupting the client's sleep. A report of 45 hours of sleep does not signify a good outcome from this medication. Headaches are a significant side effect, which would not indicate a good outcome statement. Though improvement in mood might be a result of this medication, the client's goal would have been related to relief from hot flashes.
Injecting an IV push (bolus) medication; C, another type of needleless syringe and needleless IV acc
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Instilling Eye Medication
Measuring the client’s height with a platform scale
Position the client
Deducing fetal genome sequences from maternal blood