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For each medication below, click to select the appropriate nursing action.

(Each category can have zero or more response options selected)

Administer intravaginally for cervical ripening.

Monitor the length, strength, and duration of contractions.

Ensure the client has a full bladder before administration.

Administer orally for preeclampsia.

Monitor for nausea, vomiting, and diarrhea.

Keep client in supine position with lateral tilt for 30 minutes after administration.

Avoid use in clients with a history of liver disease.

Administer IM for postpartum hemorrhage.

Encourage oral intake of grapefruit juice.

Monitor for manifestations of hypertensive crisis.

Administer IV before passage of placenta to stimulate uterine contractions

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"},"G":{"answers":"B"},"H":{"answers":"B"},"J":{"answers":"D"},"K":{"answers":"A"}}

Oxytocin (Pitocin)

Monitor contractions: Oxytocin stimulates uterine contractions; excessive stimulation can lead to uterine rupture or fetal distress.
Administer IV before placenta delivery: Used to induce labor or manage the third stage by promoting uterine contractions and preventing postpartum hemorrhage.

Carboprost (Hemabate)

Administer IM for postpartum hemorrhage: Carboprost is used when first-line therapies fail to manage bleeding.
Monitor GI side effects: Carboprost can cause nausea, vomiting, and diarrhea.
Avoid in liver disease: Due to its metabolism in the liver, this drug can be harmful to clients with liver impairment.

Misoprostol (Cytotec)

Empty bladder & intravaginal admin: An empty bladder minimizes risk of trauma and enhances the effectiveness of cervical ripening.
Cervical ripening agent: Often used to induce labor.
Position after use: Keeping the client in a supine position with lateral tilt improves drug absorption and reduces the risk of expulsion.

Methylergonovine (Methergine)

Hypertensive crisis risk: This drug causes vasoconstriction, so it is contraindicated in clients with high blood pressure due to the risk of severe complications such as stroke.

Nursing actions without a proper match:

"Ensure the client has a full bladder before administration"
"Administer orally for preeclampsia"
"Encourage oral intake of grapefruit juice"

Some nursing actions do not match the medications provided, as they are irrelevant to the uterotonic drugs listed,

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale

Perineal care of genital lesions is crucial for preventing secondary infections, promoting healing, and reducing the risk of transmission. Gentle washing with mild soap and water, followed by patting dry, helps maintain hygiene and comfort.

Choice B rationale

Herpes simplex virus type 2 can be transmitted through direct contact with lesions or asymptomatic shedding. Thorough hand washing with soap and water after any contact with the genital area or lesions helps prevent the spread of the virus to other parts of the body or to other individuals.

Choice C rationale

Acyclovir is an antiviral medication commonly prescribed to manage herpes outbreaks. It works by inhibiting the replication of the herpes simplex virus, reducing the severity and duration of symptoms, and can also be used for suppressive therapy to reduce the frequency of outbreaks.

Choice D rationale

Consistent and correct use of barrier protection, such as condoms, during sexual activity significantly reduces the risk of transmitting herpes simplex virus type 2 to sexual partners, even when no lesions are present due to the possibility of asymptomatic shedding.

Choice E rationale

Herpes simplex virus can survive on surfaces for a short period. Avoiding the sharing of personal items such as towels, washcloths, and undergarments helps prevent potential indirect transmission of the virus to other individuals.

A. Observe an area of redness on the breast of a client who is 1 day postpartum. B. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum. C. Monitor vital signs during admission of a client who has gestational hypertension. D. Change the initial perineal pad of a client who just transferred from labor and delivery.

Correct Answer is B

Explanation

Choice A rationale

Observing an area of redness on the breast of a client who is 1 day postpartum requires the assessment and clinical judgment of a registered nurse. This observation could indicate mastitis or other complications that need professional evaluation.

Choice B rationale

Providing a sitz bath to a stable postpartum client with a fourth-degree laceration is a comfort measure that can be safely delegated to assistive personnel. The procedure is routine and does not require the specialized assessment skills of a registered nurse.

Choice C rationale

Monitoring vital signs during the admission of a client with gestational hypertension requires the assessment skills of a registered nurse. Baseline vital signs and the client's overall condition need to be evaluated by the nurse upon admission, especially in a client with a potentially unstable condition like gestational hypertension. Normal blood pressure is typically less than 140/90 mmHg in gestational hypertension, but admission monitoring requires professional nursing judgment.

Choice D rationale

Changing the initial perineal pad of a client who just transferred from labor and delivery involves assessing the amount and type of bleeding, which is a nursing assessment. This initial assessment is crucial to monitor for postpartum hemorrhage and should be performed by the registered nurse. .

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For each medication below, click to select the appropriate nursing action. (Each category can have zero or more response options selected)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A teenager presents to the clinic with complaints of painful lesions, fever, headache, and vaginal discharge.After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer is B

Explanation

A nurse is reviewing the differences between placenta previa and abruptio placentae with a group of nursing students.Which of the following statements accurately differentiates placenta previa from abruptio placentae?

Which of the following gravid clients is most appropriate for a charge nurse to assign to a new nurse with no obstetric (OB) experience?

The nurse is reviewing fetal and maternal circulation with a group of nursing students.Which statement by a student demonstrates a need for further clarification?

Which interventions should the nurse include in the plan of care for a client with the nursing diagnosis of acute pain related to breast engorgement?

The nurse will implement the following interventions based on the fetal heart rate.(Select All that Apply.)

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.Which of the following is the priority nursing assessment for this client?

For each medication below, click to select the appropriate nursing action.

(Each category can have zero or more response options selected)