ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
A patient received butorphanol 2 mg intravenously 10 minutes before delivery. Which nursing action is appropriate?
Correct Answer: B
Rationale: The correct answer is B: Have naloxone available. Butorphanol is an opioid agonist-antagonist that can cause respiratory depression in the baby after delivery. Having naloxone available is crucial in case the baby exhibits signs of respiratory distress. Administering butorphanol subcutaneously (Choice A) is not indicated as the patient has already received it intravenously. Administering intravenous fluid bolus (Choice C) is not necessary unless the patient is hypovolemic. Placing oxygen 10 L by nasal cannula (Choice D) may help with maternal oxygenation but does not address the potential respiratory depression in the baby. Naloxone is the specific antidote for opioid-induced respiratory depression and should be readily available in this situation.
Question 2 of 5
The nurse is mentoring a new graduate who is preparing to administer the phytonadione injection to a newborn. Which muscle sites selected by the new graduate would indicate the need for further teaching? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Gluteus maximus. The injection site for phytonadione in newborns is the vastus lateralis muscle due to its larger muscle mass and reduced risk of nerve injury or damage. The gluteus maximus is not a recommended site as it has a higher risk of nerve injury and is not a standard injection site for newborns. Choices A, C, and D are incorrect because the anterolateral thigh, rectus femoris, and vastus lateralis are all appropriate sites for administering the phytonadione injection in newborns.
Question 3 of 5
The nurse is preparing a teaching plan for combined hormonal
Correct Answer: A
Rationale: Step 1: Including all relevant information in the teaching plan ensures comprehensive education for the patient. Step 2: By selecting all applicable information, the nurse covers a wide range of essential topics related to combined hormonal contraceptives. Step 3: This approach promotes patient understanding, adherence, and empowerment in managing their health. Summary: - Choice B: While important, this option only lists specific symptoms to report, which is not as comprehensive as including all relevant information. - Choice C: Incorrect because combined hormonal contraceptives are generally not recommended for smokers over 35 years due to increased risk of complications. - Choice D: Incorrect as combined hormonal contraceptives do not protect against sexually transmitted infections.
Question 4 of 5
The nurse is instructing a patient on the use of depot
Correct Answer: A
Rationale: The correct answer is A because it allows for multiple correct statements to be selected, which is important when educating patients about depot. Patients may experience changes in their periods, so option B is incorrect. There is no specific need to increase calcium intake related to depot use, making option C incorrect. Patients can indeed expect irregular bleeding initially, making option D incorrect. Overall, option A is the best choice as it covers the variability in potential effects of depot use on the patient.
Question 5 of 5
A patient is receiving the drug somatropin. Which drug action will the nurse anticipate?
Correct Answer: C
Rationale: The correct answer is C: Somatropin stimulates growth in long bones at epiphyseal plates by promoting cell division and growth of cartilage in bones. This drug is a synthetic form of human growth hormone, which plays a crucial role in bone growth during childhood and adolescence. Choices A, B, and D are incorrect because somatropin does not have antiinflammatory properties, does not directly affect metabolic rate and oxygen consumption, and does not promote water reabsorption from the renal tubules.