The nurse is caring for a client who has experienced a fetal demise. Which medication does the nurse anticipate will be prescribed for this client to expel the fetus?
1. Dinoprostone (Cervidil)
2. Terbutaline (Brethine)
3. Nifedipine (Procardia)
4. Oxytocin (Pitocin)
1
Rationale 1: Dinoprostone (Cervidil and others) is used to initiate labor and help the uterus shed its lining.
Rationale 2:Terbutaline (Brethine) is a uterine relaxant, and slows uterine contractions.
Rationale 3:Nifedipine (Procardia) is incorrect because it is used to slow uterine contractions.
Rationale 4: Oxytocin (Pitocin) is a uterine stimulant, and is not indicated for this use.
Global Rationale: Dinoprostone (Cervidil) is a prostaglandin thatmakes uterine muscles contract. During the uterine cycle, they naturally help the uterus shed its lining. These drugs are used for refractory postpartum uterine bleeding.
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The client is 36 weeks pregnant. The nurse is assessing the client's respiratory system and finds that the respiratory rate is 24 breaths per minute
The client states that she sometimes experiences shortness of breath. Which response by the nurse is the most appropriate? 1. "You have developed asthma during your pregnancy." 2. "During your last trimester, it is normal for you to feel short of breath and to have a faster respiratory rate." 3. "I'm going to have to notify your healthcare provider right now about these findings." 4. "You have been infected with tuberculosis."
A patient is taking entacapone (Comtan) along with carbidopa-levodopa to treat parkinsonism. The nurse notes that the patient's urine is orange in color. The nurse will
a. notify the provider of possible drug toxicity. b. reassure the patent that this is a harmless side effect. c. request an order for liver function tests. d. request an order for a urinalysis.
To facilitate the building of community partnerships, nurses must have the ability to:
a. Create seamless systems of care. b. Lobby with legislators. c. Listen and collaborate with lay community members. d. Coordinate care across agencies.
The nurse is teaching a client about the role of calcium in hypertension, and explains that a high concentration of calcium in arterial smooth muscle cells leads to which clinical manifestation?
1. Elevated blood pressure 2. Hypercalcemia 3. Decreased blood pressure 4. Hypocalcemia