The nurse is caring for a patient who is currently receiving oxytocin (Pitocin). What will the nurse anticipate as an expected outcome of this medication?

Inducing labor in full-term gestation clients

Preventing contractions in pre-term clients

Prevention of pregnancy

Increase the amounts of eggs produced during ovulation

Answer and Explanation

The Correct Answer is A

A. Oxytocin is primarily used to induce or augment labor in full-term clients, making this the correct statement regarding its expected outcome.
B. Oxytocin is not used to prevent contractions; it is used to stimulate them, especially during labor.
C. Oxytocin is not a contraceptive; it does not prevent pregnancy but is used in labor management.
D. Oxytocin does not influence egg production; it primarily affects uterine contractions and milk ejection in breastfeeding.

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Correct Answer is B

Explanation

A. A high first-pass effect means that a significant amount of the drug is metabolized by the liver before reaching systemic circulation, making oral administration less effective.
B. Morphine with a high first-pass effect will be more effective when administered via non-enteral routes, such as IV or subcutaneous, to bypass the liver's initial metabolism.
C. The first-pass effect does not influence the kidney’s rate of excretion but rather the liver’s initial metabolism of the drug.
D. The liver, not the kidneys, is responsible for the first-pass metabolism, which occurs before the drug reaches systemic circulation when taken orally.

A. rebound hypotension B. vomiting C. bradycardia D. tremors E. masking of hypoglycemia F. bronchoconstriction

Correct Answer is ["C","E","F"]

Explanation

A. Rebound hypotension is more commonly associated with abrupt withdrawal of beta-blockers rather than a direct side effect, so it is not typically included as a side effect to expect while on the medication.
B. Vomiting is not a common side effect associated with propranolol; the nurse would not educate the client on this.
C. Bradycardia is a known side effect of propranolol, as it is a beta-blocker that decreases heart rate, so clients should be educated about monitoring their heart rate.
D. Tremors can be related to withdrawal from beta-agonists rather than propranolol, which may alleviate tremors in some individuals; thus, it's not a common side effect of the medication.
E. Propranolol can mask the symptoms of hypoglycemia (e.g., tachycardia), making it important for clients with diabetes to be aware of this potential effect.
F. Bronchoconstriction can occur in clients with reactive airway diseases, as propranolol non-selectively blocks beta receptors, so clients should be educated about this risk, especially if they have asthma or other pulmonary conditions.

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The nurse is caring for a patient who is currently receiving oxytocin (Pitocin). What will the nurse anticipate as an expected outcome of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reads in a drug information guide that PO morphine has a high first-pass effect. Which of the following would the nurse expect?

Correct Answer is B

Explanation

A client who suffers from hypertension and headaches is prescribed propranolol. The nurse would educate the client on which side effects associated with this medication?

Correct Answer is ["C","E","F"]

Explanation

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