In caring for a client who is receiving oxytocin to induce labor, the nurse should be alert to which complication?
a. Hypotension and diuresis
b. Fetal tachycardia and acidosis
c. Elevated blood pressure and fetal distress
d. Prolonged third stage of labor
A
An adverse effect of Pitocin is the presence of hypertonic contractions that result in decreased maternal hypoperfusion and dehydration. Although hypertension is an adverse effect of Pitocin, fetal distress occurs after as a result of maternal hypoperfusion and dehydration. As proactive practitioners, nurses want to assess the earliest possible manifestations of adverse effects of hypotension and diuresis. Oxytocin can cause hyperstimulation of the uterus leading to ineffective contractions during the first and second stages of labor, but not the third stage.
You might also like to view...
A physician is explaining to a group of medical students the concept of Virchow triad as it applies to venous thrombosis
Which of the following clinical observations of a 50-year-old male client is most likely unrelated to a component of Virchow triad? A) The man has decreased cardiac output and an ejection fraction of 30%. B) The man's prothrombin time and international normalized ratio (INR) are both low. C) The man has a previous history of a dissecting aneurysm. D) There is bilateral, brown pigmentation of his lower legs.
An effective approach to weight control is to weigh yourself daily
Indicate whether the statement is true or false
A patient is brought to the emergency department after a motor vehicle accident and requires endotracheal intubation. Which drug would the nurse expect to administer to facilitate intubation?
a. Succinylcholine (Anectine) b. Atropine (Sal-Tropine) c. Doxacurium (Nuromax) d. Pancuronium
A mentally confused patient refuses a bath. You know that the patient's daughter is named as the attorney in the patient's durable power of attorney for health care, and the daughter has signed the consents for hospital treatment. You should
A. honor the refusal and not give the bath. B. return later and try to bathe the patient then. C. call the daughter and ask her what to do. D. force the patient to bathe.