The nurse is caring for a woman who is in labor. The woman is anxious and reports increasing nausea after receiving an opioid analgesic medication. The nurse will contact the provider and request an order for which intravenous medication?

a. Hydroxyzine HCl (Vistaril)
b. Pentobarbital sodium (Nembutal)
c. Promethazine (Phenergan)
d. Secobarbital sodium (Seconal)


ANS: C
Phenergan is used as an adjunct to narcotic analgesics to potentiate pain relief, control anxiety, and reduce nausea. Hydroxyzine may have similar effects but is not given intravenously. Pentobarbital and secobarbital are used for anxiety only.

Nursing

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1. hematemesis 2. bleeding for older intravenous access sites 3. jaundice and hematuria 4. hemoptysis

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A client asks the nurse why the healthcare provider has prescribed darbepoetin alfa (Aranesp) instead of epoetin alpha (Epogen). Which response should the nurse provide the client?

A. "Darbepoetin alfa has less side effects." B. "Darbepoetin alfa is more effective." C. "Darbepoetin alfa has a longer duration of action." D. "Darbepoetin alfa is less expensive."

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The gray, blue, or purple areas on the buttocks of a neonate are referred to as _____________________

Fill in the blank with the appropriate word.

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Which of the following conditions is NOT associated with megaloblastic anemia?

A. Vitamin B12 deficiency B. Folic acid deficiency C. Iron deficiency D. Atrophy of gastric mucosa

Nursing