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Author Question: The nurse is caring for a woman who is in labor. The woman is anxious and reports increasing nausea ... (Read 52 times)

luminitza

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on: Jul 23, 2018
The nurse is caring for a woman who is in labor. The woman is anxious and reports increasing nausea after receiving an opioid analgesic medication. The nurse will contact the provider and request an order for which intravenous medication?
 
  a. Hydroxyzine HCl (Vistaril)
  b. Pentobarbital sodium (Nembutal)
  c. Promethazine (Phenergan)
  d. Secobarbital sodium (Seconal)

Question 2

The nurse is caring for a woman who is in active labor and wants to receive a drug for severe pain immediately. Her intravenous line has just infiltrated. The nurse will perform which action?
 
  a. Administer fentanyl intramuscularly.
  b. Contact the provider for an order for IM meperidine (Demerol).
  c. Give the woman promethazine (Phenergan)
  d. Request an order for hydroxyzine (Vistaril).


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leahchrapun

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Phenergan is used as an adjunct to narcotic analgesics to potentiate pain relief, control anxiety, and reduce nausea. Hydroxyzine may have similar effects but is not given intravenously. Pentobarbital and secobarbital are used for anxiety only.

Answer to Question 2

ANS: B
Meperidine may be given IM and is the most commonly used opioid during labor. Fentanyl is best given intravenously. Promethazine is given in combination with opioids during active labor to potentiate the analgesic action of the opioids and minimize emesis. Hydroxyzine is given for nausea.


luminitza

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Reply #2 on: Jul 23, 2018
TY


leahchrapun

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Reply #3 on: Jul 23, 2018
You're welcome


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