A nursing instructor asks a group of students, "What should be included in the teaching plan for a client receiving Pitocin?" Which response by a student would indicate the need for further teaching? (Select all that apply.)
a. medication and reasons for use
b. monitoring of the fetal heart rate
c. temperature of newborn's bath water
d. monitoring of blood glucose and sodium levels
e. techniques for effective breastfeeding of the newborn
f. monitoring of the maternal blood pressure, pulse, and temperature
C, D, E
The nursing instructor would recognize that further teaching is required if the student responded: temperature of bath water; monitoring of blood glucose and sodium levels; and techniques for effective breast feeding of the newborn. The focus should be on what the mother needs to know about the Pitocin. Therefore, the teaching plan would include an explanation about the medication and reasons for use; reactions to expect; route of administration and the rate; monitoring of the fetal heart rate and contractions (including frequency, intensity, and resting tone); monitoring of the maternal blood pressure, pulse, and temperature; expected outcome; and that expectations may vary according to the Bishop score and other maternal-fetal factors.
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Of the following individuals, who is at a higher risk for hypertension?
a. White woman, age 70, height 5 feet 1 inch, weight 130 lb b. White man, age 55, height 6 feet, weight 210 lb c. African-American man, age 70, height 6 feet, weight 250 lb d. African-American man, age 72, height 6 feet 2 inches, weight 190 lb
A nurse receives an order from a health care provider to administer Vicodin ES, which contains 750 mg acetaminophen and 7.5 mg hydrocodone, to a patient who is experiencing 8/10 postsurgical pain
The order is to give 2 tablets every 6 hours by mouth as needed for pain. What is the nurse's best next action? a. Give the Vicodin ES to the patient immediately because the patient is experiencing severe pain. b. Ask the health care provider to verify the dosage and frequency of the medication. c. Ask the health care provider for an order for a nonsteroidal antiinflammatory drug (NSAID). d. Ask the health care provider for an order to play music for the patient, in addition to providing the pain medication.
The nurse notices that a coworker has been drinking and is not able to practice safely. The nurse should do which of the following?
A. Inform the manager or shift director immediately. B. Warn the coworker that black coffee is in order. C. Discuss the situation with the other nurses working. D. Do nothing, but keep an eye on the nurse.
____________________ is the hormone that lowers blood sugar.
Fill in the blank(s) with the appropriate word(s).