1.A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription?
Give the medication each time the client saturates the perineal pad within 15 min.
Administer the medication once if the client saturates the perineal pad within 15 min.
Wait 15 min to administer the medication after the client saturates a perineal pad.
Offer the medication now to prevent saturation of perineal pad.
The Correct Answer is B
The correct answer is Choice B.
Choice A rationale: This is incorrect because the prescription is for one time only, not for repeated doses. Giving the medication each time the client saturates the perineal pad within 15 min could cause uterine hyperstimulation, water intoxication, or hypotension1.
Choice B rationale: This is correct because the prescription is for one time only and the indication is saturation of a perineal pad in 15 min or less. This is a sign of postpartum hemorrhage, which is a common and potentially life-threatening complication of childbirth2. Oxytocin is a uterotonic agent that helps the uterus contract and reduce bleeding3.
Choice C rationale: This is incorrect because waiting 15 min to administer the medication after the client saturates a perineal pad could result in excessive blood loss and hypovolemic shock. The medication should be given as soon as possible after the indication is met.
Choice D rationale: This is incorrect because offering the medication now to prevent saturation of perineal pad is not the intended use of the prescription. The medication is for treatment, not prevention, of postpartum hemorrhage. Prophylactic oxytocin is usually given intravenously or intramuscularly during or immediately after the delivery of the placenta.
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Related Questions
Correct Answer is A
Explanation
Bisacodyl is a stimulant laxative that works by increasing the activity of the intestines to cause a bowel movement. It is usually used on a short-term basis to treat constipation or to empty the bowels before surgery or certain medical procedures. However, bisacodyl should not be used in postpartum clients who have had a cesarean delivery or an episiotomy, as it may cause straining and increase the risk of bleeding or infection. Therefore, the nurse should clarify this prescription with the provider and suggest an alternative laxative that is safer for postpartum clients, such as docusate sodium or psyllium.
Calcium carbonate 750 mg PO.
There is no need to clarify this prescription. Calcium carbonate is a common supplement used to provide calcium to the body, and it is typically taken orally.
Oxycodone 5 mg PO every 4 hr PRN for severe pain.
There is no need to clarify this prescription. Oxycodone is a strong opioid analgesic commonly used for severe pain management, and the specified dose and frequency are within the usual range.
Ibuprofen 600 mg PO every 6 hr PRN for moderate pain.
There is no need to clarify this prescription. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, including moderate pain. The specified dose and frequency are within the usual range.
Correct Answer is ["1"]
Explanation
Dosage (mL) = Ordered dose (mg) / Available dose (mg/mL) Therefore;
Dosage = 150 mg / 150 mg/mL Dosage = 1 mL
Therefore, the nurse should administer 1 mL of medroxyprogesterone solution for injection to the client.
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