ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
Which assessment finding is most concerning when examining a client in preterm labor who is receiving magnesium sulfate?
Correct Answer: C
Rationale: The correct answer is C, loss of patellar reflexes. This is concerning because it indicates magnesium sulfate toxicity, which can lead to respiratory depression, cardiac arrest, and maternal death. The other choices are less concerning: A (lethargy) is an expected side effect, B (warmth) is a common sensation with magnesium sulfate, and D (positive clonus) is an expected finding with magnesium sulfate therapy. It is essential to monitor for signs of magnesium toxicity to prevent serious complications.
Question 2 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 3 of 5
Spinal anesthesia with morphine is administered to a patient for pain relief during cesarean section. She complains of itching. The nurse prepares to administer which drug?
Correct Answer: A
Rationale: The correct answer is A: Diphenhydramine. Diphenhydramine is an antihistamine that can help alleviate itching, a common side effect of morphine. It works by blocking histamine receptors. Ephedrine sulfate is a sympathomimetic drug used for hypotension, not itching. Butorphanol tartrate is an opioid analgesic, which may worsen itching. Lidocaine is a local anesthetic and does not address itching from systemic morphine. Diphenhydramine is the best choice to address the patient's itching while not interfering with the spinal anesthesia.
Question 4 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 5 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.