The nurse is caring for a patient after the third stage of labor, and the provider orders 20 mg of oxytocin to be given intramuscularly. The nurse will explain to the patient that this drug for which purpose?

a. To allow the cervix to close
b. To enhance milk letdown
c. To prevent uterine atony
d. To suppress lactation


ANS: C
After delivery of the infant, oxytocin is given to help the uterus stay contracted and prevent uterine atony. It may be given intravenously or intramuscularly. It does not constrict the cervix. Intranasal oxytocin may be given later to enhance letdown of breast milk. Oxytocin does not suppress lactation.

Nursing

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The AACN has provided a directive regarding best practice for verification of feeding tube placement. Which of the following is an expected practice for tube placement?

A) Radiographic confirmation of correct tube placement on all critically ill patients who are to receive feedings or medications via blindly inserted gastric or small bowel tubes following initial use. B) The tube's entrance site to the nose or mouth should be marked and the length documented immediately after radiographic confirmation of correct tube placement. C) The mark on the tube's entrance site to the nose or mouth should be observed routinely to assess for a change in length of the external portion of the tube. D) Bedside techniques, including measuring the pH and observing the appearance of fluid withdrawn from the tube, should be used to assess tube location at regular intervals.

Nursing

Which of the following reimbursements pays at contracted rates?

a. Fee-for-service b. Federally Qualified Health Center (FQHC) c. HMO provider d. Third-party reimbursement

Nursing

Which nursing intervention has the highest priority as a patient diagnosed with anorexia nervosa begins to gain weight?

a. Assess for depression and anxiety. b. Observe for adverse effects of refeeding. c. Communicate empathy for the patient's feelings. d. Help the patient balance energy expenditures with caloric intake.

Nursing

Most interviewers offer a job at the end of the interview

True False

Nursing