Ms. Young began an infusion of oxytocin 2 hours ago and the nurse has been conducting regular assessments on her as well as monitoring the fetal heart rate closely.
The nurse should prioritize which of the following potential nursing diagnoses in the organization of Ms. Young's immediate care?
A) Excess Fluid Volume
B) Ineffective Breathing Pattern
C) Hyperthermia
D) Altered Thought Processes
Question 2
A pregnant patient has been receiving an infusion of oxytocin for the past several hours.
For the past 20 minutes, the patient's contractions have been lasting in excess of 2 to 3 minutes each and there is less than 1 minute between most contractions. As well, there have been significant decelerations in fetal heart rate. The nurse has recognized the clinical characteristics of tachysystole and informed the physician, seeking an order to discontinue the oxytocin. The physician, however, wants to persist with the oxytocin infusion because the patient is making good progress. How should the nurse best respond?
A) Go up the hospital chain of command to obtain assistance
B) Document carefully and monitor the patient more closely
C) Defer to the physician's base of greater knowledge and experience
D) Explain the professional difference of opinion to the patient and her partner
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