A nurse is assessing a client who is receiving oxytocin infusion to augment labor. Which of the following findings should the nurse identify as an adverse effect of the medication?

Uterine contractions lasting 90 seconds

Moderate variability of the FHR

Uterine contractions every 2 min

FHR 150/min

Answer and Explanation

The Correct Answer is A

Choice A reason: Prolonged uterine contractions lasting 90 seconds indicate uterine tachysystole, a dangerous adverse effect of oxytocin. This can reduce placental perfusion, compromise fetal oxygenation, and increase risk of uterine rupture. Immediate intervention is required.

Choice B reason: Moderate variability of the fetal heart rate is a reassuring sign of adequate oxygenation and intact neurological function. It is not an adverse effect.

Choice C reason: Contractions every 2 minutes are within the normal therapeutic range for oxytocin augmentation. This frequency supports labor progression without compromising fetal well-being.

Choice D reason: A fetal heart rate of 150/min is within the normal baseline range (110–160/min). This is not an adverse effect.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Progressive muscle relaxation is an effective technique for managing mild anxiety. It involves tensing and relaxing muscle groups to reduce physical tension and promote calmness. This is a healthy coping strategy that empowers the client to manage symptoms.

Choice B reason: Surrounding oneself with a crowd of people can increase anxiety rather than reduce it. Crowds may overstimulate the client and worsen symptoms.

Choice C reason: Shallow, rapid breathing exacerbates anxiety by increasing sympathetic nervous system activity and reducing oxygenation. The nurse should encourage slow, deep breathing instead.

Choice D reason: Suppressing feelings is maladaptive and can worsen anxiety over time. Healthy coping strategies involve acknowledging and managing feelings, not ignoring them.

A. Varenicline B. Disulfiram C. Sertraline D. Clonidine

Correct Answer is C

Explanation

Choice A reason: Varenicline is used for smoking cessation by reducing nicotine cravings. It is not indicated for gambling disorder.

Choice B reason: Disulfiram is used for alcohol use disorder by causing unpleasant effects when alcohol is consumed. It does not treat gambling disorder.

Choice C reason: Sertraline, an SSRI, is correct because it can reduce compulsive behaviors and improve impulse control. SSRIs are commonly used to treat behavioral addictions such as gambling disorder.

Choice D reason: Clonidine is used for hypertension and opioid withdrawal symptoms. It does not address compulsive gambling behaviors.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who is receiving oxytocin infusion to augment labor. Which of the following findings should the nurse identify as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about managing anxiety to a client who has anxiety disorder. Which of the following recommendations should the nurse make for when the client experiences mild anxiety?

Correct Answer is A

Explanation

A nurse is caring for a client who is requesting treatment for a gambling disorder. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is C

Explanation

An assistive personnel tells the nurse that several client measurements were obtained with morning vital signs. Which of the following clients should the nurse plan to assess first?

A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect?

A nurse is caring for a client who has atypical depression and is taking phenelzine. Which of the following foods is appropriate for the nurse to offer as an evening snack?

A nurse is caring for a client who is taking levothyroxine. Which of the following findings should the nurse identify as an adverse effect?

A nurse is planning care for a client who has a deep vein thrombosis in the right leg. Which of the following actions should the nurse include in the plan?

A nurse in a mental health facility is caring for a client whose adult child states, "I feel guilty about admitting them to the facility." Which of the following responses should the nurse make?

A nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium sprinkle capsules. Which of the following actions should the nurse take?

A client who is having suicidal thoughts tells the nurse, "It just does not seem worth it anymore. Why not end my misery?" Which of the following responses by the nurse is appropriate?