The priority nursing care associated with an oxytocin infusion is:
a. measuring urinary output.
b. evaluating cervical dilation.
c. monitoring uterine response.
d. increasing infusion rate every 30 minutes.
ANS: C
Because of the risk of hyperstimulation, which could result in decreased placental perfusion and uterine rupture, the nurse's priority intervention is monitoring uterine response. Monitoring urinary output is important with Pitocin but not the top priority. Monitoring labor progression is important but not the top priority. The infusion rate may be increased but only after proper assessment that it is appropriate.
You might also like to view...
Which action by the nurse is most helpful to prevent clients from acquiring infections while hospitalized?
a. Assessing skin and mucous membranes b. Consistently using appropriate hand hygiene c. Monitoring daily white blood cell counts d. Teaching visitors not to visit if they are ill
Directions: Identify the letter of the label corresponding to the IV fluid abbreviation
D NS with 20 mEq KCL
Which of the following conditions is the most common cause of congestive heart failure in infants?
a. cardiomyopathy c. congenital heart disease b. endocarditis d. myocarditis
A nurse is looking for employment in the field of hyperbaric medicine. What criterion must the nurse fulfill to be able to work in such an area?
A) Must be a former Navy diver B) Must have patent auditory tubes C) Must have worked as a registered nurse D) Must know how to operate dialysis machines