When caring for a client prescribed prostaglandin gel prior to ...

[Bernana]

When caring for a client prescribed prostaglandin gel prior to induction of labor, the nurse should:
 
  a. monitor the client closely for hypertension.
  b. initiate oxytocin IV infusion prior to administration of the gel.
  c. initiate fetal monitoring prior to administration of gel.
  d. monitor the client's cervix for dilation and effacement.

Question 2

When teaching a client prescribed ritodrine about adverse effects of this medication, the nurse recognizes client understanding of the teaching when the client identifies which of the following:
 
  a. somnolence. c. hypotension.
  b. lethargy. d. nervousness.

[tdewitt]

Answer to Question 1

ANS: C

Feedback
A Incorrect: This is not an adverse effect of local prostaglandin administration.
B Incorrect: The gel is for cervical ripening, which should occur prior to oxytocin induction.
C Correct: This is the priority nursing action of the nurse to determine adverse effects to the fetus.
D Incorrect: Although important, this is not the priority action to take first.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This is not an adverse effect of ritodrine.
B Incorrect: This is not an adverse effect of ritodrine.
C Incorrect: This is not an adverse effect of ritodrine.
D Correct: Nervousness, anxiety, headache, nausea, and palpitations are among the adverse effects of ritodrine.

[Bernana]

Excellent

[alvinum]

TYSM