A labor client, gravida 2, para 1, at term has received meperidine (Demerol) for pain control during labor. Her most recent dose was 15 minutes ago and birth is now imminent
Maternal vital signs have been stable and the EFM tracing has not shown any baseline changes. Which medication does the nurse anticipate would be required in the birth room for administration?
a. Oxytocin (Pitocin)
b. Naloxone (Narcan)
c. Bromocriptine (Parlodel)
d. Oxygen
ANS: B
Because birth is imminent, and considering that the client has had a recent dose of narcotics, the nurse anticipates that naloxone (Narcan) will be administered to the newborn to combat the effects of the opioid. Although Pitocin will be given following birth of the placenta, the newborn will be delivered prior to that and will receive priority intervention. Parlodel is not typically given in the labor and birth area any more. It was previously used to suppress lactation. At present, there is no need for the administration of oxygen because there is no evidence that the mother is showing any signs of respiratory depression.
You might also like to view...
The nurse is planning discharge education for a client after coronary artery bypass graft surgery. Which instruction does the nurse include in this client's teaching?
a. "Remember to drink at least 3 liters of fluid daily." b. "You should abstain from sexual activity for 6 months." c. "Take your pulse before, midway through, and after exercising." d. "Stop taking your antihyperlipidemic me-dication at this time."
When a client with AIDS experiences pain while swallowing, the nurse could suggest
a. avoiding the use of straws while drinking. b. drinking acidic juices such as orange juice. c. eating very cold foods. d. increasing the intake of well-cooked eggs and noodle dishes.
Which factor is the most important in determining the rate of fluid replacement in the dehydrated child?
a. The child's weight b. The type of dehydration c. Urine output d. Serum potassium level
The nurse is reviewing orders for a newly admitted client with a student. Which statement by the student indicates that the student understands the meaning of a standing order?
1. It is to be given only once and at a specific time. 2. It is written in advance of a situation, and should be carried out under specific circumstances. 3. It is usually carried out within two hours of the time the order is written by the physician, but the exact timing is defined by each facility. 4. It is administered as required by the patient's condition.