The nurse is caring for a woman who is in active labor and wants to receive a drug for severe pain immediately. Her intravenous line has just infiltrated. The nurse will perform which action?
a. Administer fentanyl intramuscularly.
b. Contact the provider for an order for IM meperidine (Demerol).
c. Give the woman promethazine (Phenergan)
d. Request an order for hydroxyzine (Vistaril).
ANS: B
Meperidine may be given IM and is the most commonly used opioid during labor. Fentanyl is best given intravenously. Promethazine is given in combination with opioids during active labor to potentiate the analgesic action of the opioids and minimize emesis. Hydroxyzine is given for nausea.
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A researcher uses multiple sources or referents to draw conclusions about what constitutes the truth. What is this called?
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J.T. says, "I'll be able to keep my hand up when I'm awake, but what about when I go to
sleep?" What suggestion can the nurse make to help J.T. comply with the instructions? What will be an ideal response?