After delivery of the infant, the nurse adds 20 units of oxytocin to the intravenous solution. The nurse understands that the purpose of this medication is to
a. suppress lactation in a nonbreastfeeding mother
b. shorten the length of the third stage of labor
c. promote comfort during the immediate postpartum period
d. prevent postpartum hemorrhage
D
Oxytocin is a uterine stimulant administered to cause uterine contractions to promote uterine involution and prevent postpartum hemorrhage. Oxytocin will not suppress lactation, and it will not promote comfort in the postpartal mother. While oxytocin can shorten the length of the third stage of labor, this is not the purpose of oxytocin.
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A patient has come to the clinic complaining of pain just above her umbilicus. When assessing the patient, the nurse notes Sister Mary Joseph's nodules. The nurse knows that this is a sign of what?
A) A GI malignancy B) Dumping syndrome C) Peptic ulcer disease D) Esophageal/gastric obstruction
The client with cancer is about to have an implanted port placed for chemotherapy
She cries and tells the nurse that she is worried that she will not be able to swim or shower with this device, and that its presence will remind her daily that she has cancer. What is the nurse's best response? A. "The device is totally under the skin, so you can swim, shower, and bathe when the incision is healed." B. "Having this device in place will prevent a lot of pain and save your veins in case you need more therapy later." C. "Try not to worry. This device is temporary and will be removed as soon as your regimen of chemotherapy is over." D. "If you carefully tape plastic wrap over the tubes and caps, you can still shower, although taking a tub bath and swimming are not permitted."
Which of the following is the best example of a risk reduction program?
a. At the senior citizens center, the nurse set up an exercise program for persons in wheelchairs. b. The nurse appeared on the local public access television channel each Sunday afternoon to discuss good parenting skills. c. The nurse worked with the local health maintenance organization (HMO) to make infant car seats available without charge to all first-time pregnant mothers. d. The nurse wrote a weekly local newspaper column on healthy lifestyle behaviors, such as the importance of exercise.
The nurse is caring for a 33-year-old woman who is experiencing pregnancy-induced hypertension (PIH). On the first visit, the nurse focuses on assessing
A) weight, presence of edema and hyperreflexia, fetal heart tones, compliance to the plan of care, nutrition, psychosocial status, and knowledge of symptoms. B) weight, fetal heart tones, fundal height, and psychosocial status. C) vomiting, weight loss, and fluid and electrolyte imbalances. D) self-care capacity, edema, fundal height, and fetal heart tones.