The nurse understands that the purpose of adding 20 units of oxytocin to the intravenous infusion following delivery is to
a. help stabilize the client's blood pressure
b. control postpartum bleeding
c. decrease the length of fourth-stage labor
d. assist in the delivery of the placenta
B
Oxytocin stimulates uterine contractions to help control postpartum bleeding. Stabilizing the client's blood pressure is not an action of oxytocin. The fourth-stage of labor is considered to be the first 2 hours after delivery. Oxytocin does not shorten this period. Placenta delivery occurs during the third stage of labor.
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The nurse teaches a client about proper foot care and concludes that further teaching is required when the client says:
1. "I will soak my feet in warm water and alcohol to prevent infection." 2. "I will be careful to dry my feet between the toes." 3. "I will wash any cut with soap and water and apply an antiseptic." 4. "I will notify the nurse if I notice an open sore with drainage on my foot."
A 44-year-old female patient presents to the emergency department with abnormal bleeding and abdominal pain that is later attributed to gallbladder disease
Which of the following diagnoses would the medical team be most justified in suspecting as a cause of the patient's bleeding?
A) Excess calcium
B) Vitamin K deficiency
C) Hemophilia B
D) Idiopathic immune thrombocytopenic purpura (ITP)
Which IV catheter type carries the highest risk of exposure to bloodborne pathogens if a needle stick injury occurs?
A. Midline catheter B. Short peripheral catheter C. Peripherally inserted central catheter D. Nontunneled percutaneous central catheter
A nurse is reviewing possible first-line medications for a new, older type 2 diabetic. What contraindication does the nurse identify for metformin (Glucophage)?
a. Patient drinks three to four alcoholic drinks/day b. Patient's parents both took insulin c. Creatinine 0.9 mg/dL d. Potassium 3.8 mEq/dL