A woman in labor receives meperidine (Demerol) for pain. The nurse caring for the infant will observe the infant closely for:
a. congenital anomalies.
b. excessive crying and sneezing.
c. respiratory depression.
d. tremors and hyperreflexia.
ANS: C
Use of morphine or other opioids during delivery can cause respiratory depression in the neonate, because the drug crosses the placenta. Infants should be monitored for respiratory depression and receive naloxone if needed. Opioids given during delivery do not contribute to birth defects in the newborn. Excessive crying and sneezing and tremors and hyperreflexia are all signs of neonatal opioid dependence, which occurs with long-term opioid use by the mother during pregnancy and not with short-term use of these drugs during labor.
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A 45-year-old diabetic male is experiencing erectile dysfunction. If his erectile dysfunction is caused by the nervous system, then the nurse can educate the patient that the venous blood supply to the penis is controlled by
A) sacral parasympathetic fibers. B) the hypothalamus. C) the vagus nerve. D) postganglionic sympathetic neurons.
During times of extreme crisis, what types of communication can be expected (select all that apply)?
a. Employees prefer to obtain communica-tion from external sources. b. Normal communication flows are dis-rupted. c. Managers should remain at home to de-crease the number of personnel on scene. d. Managers and leaders should stay focused on the business. e. Managers and leaders have a contingency and disaster plan in place.
The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection?
A) Dark red color B) Noticeable crusts but no pruritus C) Dark red, macular, very pruritic lesions D) Various stages of lesions present at the same time
A patient is prescribed an extended-release drug for overactive bladder. Which precaution is most important for the nurse to teach the patient?
a. "Avoid taking this drug at bedtime." b. "Drink at least 3 L of fluid daily." c. "Swallow the tablet or capsule whole." d. "Perform a home pregnancy test monthly."