Li has been administered Pitocin by IV infusion in order to induce labor. Which of the following is a major adverse effect when this drug is administrated excessively?
A. Vertigo
B. Cutaneous vasoconstriction
C. Tremor
D. Uterine tetany
Answer: D
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A newly admitted patient required seclusion immediately on entering the inpatient unit. What criteria would the nurse use to decide when to discontinue the use of seclusion?
a. Seclusion can be discontinued when the patient seems calm. b. Discontinuation is based on outcomes developed for each patient. c. Seclusion continues until the patient has been calm for at least 4 hours. d. Seclusion lasts until the physician orders its discontinuation.
Which pain management task can be safely delegated to nursing assistive personnel?
1) Assessing the quality and intensity of the patient's pain 2) Evaluating the effectiveness of pain medication 3) Providing a therapeutic back massage 4) Administering oral dose of acetaminophen
The nurse is caring for an infant with bladder exstrophy. As part of the nursing plan, the nurse monitors for abdominal skin excoriation. Which intervention would best promote healing and prevent further skin breakdown?
A) Cleaning the area well with a scented diaper wipe B) Applying a barrier/healing cream or paste on the skin C) Keeping the bladder moist and covering it with a sterile bag D) Covering the area with sterile gauze pads after bathing
A young adult is charged with assault with intent to commit murder after attacking a neighbor. Because this young adult has a history of schizophrenia with delusions, the lawyer requests a hearing for competency
Competency to stand trial will be judged by the client's answer to which of these questions? a. "Were you abused as a child?" b. "What are the charges against you?" c. "Why did you assault your neighbor?" d. "What are your delusions?"