A nurse is caring for a patient who has excessive blood loss post-delivery from uterine atony. The perinatal nurse notifies the health-care provider while another nurse performs uterine massage. Which medication does the nurse anticipate to be given as th
A.
Carboprost (Hemabate)
B.
Ergonovine (Ergotrate)
C.
Methylergonovine (Methergine)
D.
Oxytocin (Pitocin)
ANS: D
If the cause of the hemorrhage is uterine atony, continual fundal massage with lower uterine segment support is mandatory. While one member of the team massages the fundus, another nurse establishes intravenous access with a large-bore needle and administers oxytocic drugs, starting with oxytocin. The other options are all useful in controlling postpartum hemorrhage, but oxytocin should be administered first.
You might also like to view...
A nurse is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate?
A) Renal function B) Hepatic function C) Respiratory function D) Cardiac function
An IV of Demadex 250 mg/250 mL of D5W is infusing at 5 mL/hr. What dose is the client receiving? _______________
a. 10 mg/hr b. 50 mg/hr c. 5 mg/hr d. 100 mg/hr
In planning a new wing, the nurse manager complies with the workplace safety requirements of the Occupational Safety & Health Administration (OSHA). Which of the following groups is considered to be at high risk for violence in the workplace?
a. Pediatric staff b. Postsurgical unit staff c. Emergency Department staff d. Medical oncology unit staff
At the ambulatory care clinic, the nurse counseling a client who has presented with frequent episodes of paroxysmal atrial tachycardia would advise the client to
a. avoid all aspirin and nonsteroidal anti-inflammatory drugs. b. eat a low-salt, low-fat diet that contains plenty of fiber. c. get 30 minutes of exercise and drink six glasses of water per day. d. quit smoking and avoid caffeine and alcohol.