A toddler is being treated for acetaminophen toxicity after an accidental overdose.
The nurse should prepare to administer which medication?

Choice A rationale

False labor contractions, also known as Braxton Hicks contractions, are uncoordinated and do not cause effacement or dilation of the cervix. They are considered practice contractions. True labor contractions, in contrast, cause progressive cervical changes, which is the definitive sign of true labor. This is the key physiological difference between true and false labor.

Choice B rationale

This statement describes true labor contractions, not false labor. True labor contractions will increase in intensity, duration, and frequency over time. As the labor progresses, the contractions become stronger and more powerful, leading to cervical changes. False labor contractions are typically inconsistent in their strength and may even weaken over time.

Choice C rationale

This statement is an incomplete description of false labor. While they do not necessarily increase in frequency and intensity, a key characteristic is that they are irregular in their pattern. True labor contractions, on the other hand, are regular and follow a predictable pattern of increasing frequency and intensity.

Choice D rationale

False labor contractions often diminish or disappear with rest, changes in activity, or hydration. This is a common characteristic that helps to distinguish them from true labor. True labor contractions will continue regardless of rest, sleep, or changes in activity and will often become stronger with ambulation.

Choice E rationale

False labor contractions are typically irregular in their timing and duration. The interval between contractions does not shorten, and the intensity does not increase. True labor contractions, however, are regular and predictable, following a pattern of increasing frequency, duration, and intensity as labor progresses. .

Choice A rationale

Documenting a family history of allergies is important for a complete health history, but it is not a direct documentation of the patient's own reported allergies. The question asks what information to document regarding a patient's reported allergies, so the focus is on the patient's personal experience, not that of their family.

Choice B rationale

The type of allergic reaction is crucial information to document. This helps in distinguishing between a true anaphylactic reaction and a side effect or intolerance. Documenting the specific signs and symptoms, such as rash, hives, or shortness of breath, provides vital information for preventing future exposures and guiding appropriate treatment if one occurs.

Choice C rationale

The medication names are essential to document to prevent future exposure to the same drug. This ensures that the patient does not receive the offending medication again, which is a primary safety measure. It is a fundamental component of a complete allergy record to specify the substance that caused the reaction.

Choice D rationale

Documentation of Epi Pen use is critical as it indicates a severe, anaphylactic reaction requiring an emergency intervention. This information alerts providers to the high risk of a life-threatening allergic response and the need for preparedness, such as having epinephrine available for future exposure.

Choice E rationale

The date of the allergic reaction should be documented to provide a chronological history. This helps in understanding the timeline of the allergy and can be useful for determining if an allergy has changed over time or for correlating the reaction with a specific exposure