Exam (elaborations)
SAUNDERS ATI PHARMACOLOGY STUDY GUIDE
- Course
- Institution
SAUNDERS ATI PHARMACOLOGY STUDY GUIDE SAUNDERS ATI PHARMACOLOGY STUDY GUIDE
[Show more]
Seller
Follow
lectnancy
Content preview
SAUNDERS ATI PHARMACOLOGY STUDYGUIDE
Week 1: Chapter 35 “Maternity and Newborn Medications”
Questions Answers and Rationales
1. The nurse is monitoring a client whois • Fatigue
receiving oxytocin (Pitocin) to induce • Drowsiness
labor. Which assessment finding • Uterine hyperstimulation
would cause the nurse to • Early decelerations of the fetal heart rate
immediately discontinue the oxytocin
infusion? Rationale: Often used to induce labor. High doses
areoften used for uterine hyperstimulation & C/S
births. ADVERSE EFFECTS: Hyperstimulation of
uterine
contractions & non-reassuring fetal
HR DISCONTINUE
2. A pregnant client is receiving • Proteinuria of 3 +
magnesium sulfate for the • Respirations of 10 breaths/ minute
management of preeclampsia. The • Presence of deep tendon reflexes
nurse determines that the client is • Serum magnesium level of 6 mEq/ L
experiencing toxicity from the
medication if which finding is notedon Rationale: Mg TOXICITY RESP. DEPRESSION, LOSS
assessment? OF TENDON REFLEXES & SUDDEN DECLINE IN
FETAL
HR, MATERNAL HR, & BP caused by Mg tx. Must
remain within therapeutic serum levels 4–7.5
mEq/L.Proteinuria 3+ is expected in a pt w/
preeclampsia.
3. The nurse is monitoring a client in • Flushing
preterm labor who is receiving • Hypertension
intravenous magnesium sulfate. The • Increased urine
nurse should monitor for which adverse output4.
effects of this medication?Select all that Depressed
apply. respirations
• Extreme muscle weakness
• Hyperactive deep tendon reflexes
Rationale: Mg sulfate is a CNS depressant that
relaxessmooth muscles like the uterus. It’s used to
STOP preterm labor contractions and for
preeclampsia pts. to PREVENT SEIZURES. ADVERSE
EFFECTS:
• Flushing
• Depressed respirations
• Depressed deep tendon reflexes
• Hypotension
• Extreme muscle weakness
• Decreased urine output
• Pulmonary Edema
, • Elevated Mg serum levels
4. The nurse instructor asks a nursing • “I will flush the eyes after instilling the
student to describe the procedure for ointment?”
administering erythromycin ointmentto
the eyes of a newborn. Which student • “I will clean the newborn’s eyes before
statement indicates that further instillingointment.”
teaching is needed?
• “I need to administer the eye ointment within
1 hr.after delivery.”
• “I will instill the eye ointment into each of the
NB’sconjunctiva sacs.”
Rationale: Eye prophylaxis protects the NB
against Neisseria gonorrhea & Chlamydia
trachomatis. The eyes are NOT FLUSHED AFTER
INSTILLATION of med
because the flush would WASH AWAY the
administered medication.
5. A client in preterm labor (31 • Nalbuphine (Nubain)
weeks) who is dilated to 4 cm • Betamethasone (Celestone)
has been started on magnesium • Rho(D) immune globulin (RhoGAM)
sulfate and contractions have • Dinoprostone (Cervidil vaginal insert)
stopped. If theclient’s labor can
be inhibited for thenext 48 Rationale: Betamethasone, a glucocorticoid increases
hours, the nurse anticipates a the production of surfactant to stimulate fetal lung
prescription for which maturation. It is administered to clients inpreterm labor
medication? at 28 to 32 weeks of gestation if the labor can be
inhibited for 48 hours.
Nalbuphine (Nubain) is an opioid analgesic. Rho(D)
immune globulin (RhoGAM) is given to Rh-
negative clients to prevent immunological condition aka
Rh disease (hemolytic disease of NB); it takes out the +
cells that were transported from maternal bloodstream
fetal circulation.
Dinoprostone (Cervidil vaginal insert) is a prostaglandin
given to ripen and soften the cervix andto stimulate
uterine contractions.
6. Methylergonovine (Methergine) • Uterine tone
isprescribed for a woman to • Blood pressure ABC!!!
treat postpartum hemorrhage. • Amount of lochia
Beforeadministration of • Deep tendon reflexes
methylergonovine, what is the
priority nursing assessment? Rationale: Methylergonovine is an ERGOT ALKALOID
prevents or controls postpartum hemorrhage by
contracting the uterus. This med continuous uterine
contractions and can elevate BP CHECK BP reportto MD if
HTN is present
7. The nurse is preparing to 1. Intradermal
administer beractant 2.
, (Survanta) to a premature Intratracheal
infant who has respiratory • Subcutaneous
distress syndrome. Thenurse • Intramuscular
plans to administer the
medication by which route? Rationale: Respiratory distress syndrome is a serious lung
disorder caused by immaturity and the inability to
produce surfactant hypoxia and acidosis. It is common in
premature infants and may be due to lungimmaturity as a
result of surfactant deficiency. The mainstay of
tx=exogenous surfactant, which is administered by the
intratracheal route.
* Note relationship that question states “respiratorydistress
syndrome” Intratracheal
8. An opioid analgesic is • Naloxone Antidote!
administeredto a client in • Morphine sulfate
labor. The nurse assigned to • Betamethasone (Celestone)
care for the client • Meperidine hydrochloride (Demerol)
ensures that which
medication isreadily
available if respiratory
depression occurs?
9. Rho(D) immune globulin (RhoGAM) is • Having Rh-positive blood
prescribed for a client after delivery • Developing a rubella infection
and the nurse provides information • Developing physiological jaundice
tothe client about the purpose of the 4. Being affected by Rh
medication. The nurse determines incompatibility
that the woman understands the
purpose if the woman states that it Rationale: Rh incompatibility can occur when an Rh-
will protect her next baby from negative mother becomes sensitized to Rh antigen.
whichcondition? Sensitization may occur when an Rh-negative woman
becomes pregnant with a fetus who is positive
maternal circulation mother’s immune system to
form antibodies against Rh+ blood. This medication
prevents mothers from developing antibodies against
Rh+ blood by providing passive antibody protection
against Rh antigen.
10. Methylergonovine (Methergine) is • Hypotension
prescribed for a client with • Hypothyroidism
postpartum hemorrhage. Before • Diabetes mellitus
administering the medication, the • Peripheral vascular disease
nurse contacts the health care
provider who prescribed the Rationale: Ergot alkaloids are contraindicated in
medication if which condition is clients with significant cardiovascular disease,
documented in the client’s peripheral vascular disease, hypertension,
medicalhistory? preeclampsia, or eclampsia. The vasoconstrictive
effects of the ergot alkaloids worsen these conditions.
Chapter 49: “Pediatric Med. Administration and Calculations”
Questions Answers and Rationales
1. The nurse is providing medication • “I should cuddle my child after
instructions to a parent. Which giving themedication.”
, statement by the parent indicates a • “I can give my child a frozen juice bar
need for further instruction? after heswallows the medication.”
• “I should mix the medication in the baby food
andgive it when I feed my child.”
• “If my child does not like the taste of the
medicine, Ishould encourage him to pinch his nose
and drink the medication through a straw.”
Rationale: It may give an unpleasant taste to the
food, and the child may refuse to accept the same
food in thefuture. In addition, the child may not
consume the entire serving and would not receive
the required medication dosage.
2. A health care provider’s prescription 1. 1.1 mL
reads “ampicillin sodium 125 mg IV 2. 0.54 mL
every 6 hours.” The medication label 3. 7.425 mL
reads “1 g and reconstitute with 7.4 mL 4. 0.925 mL
of bacteriostatic water.”The nurse
prepares to draw up how many mL to Rationale: 1 g= 1000 mg
administer one dose?
3. A pediatric client with 1. 0.5 mg
ventricular septal defect 2. 2.5 mg
repair is placed on a 3. 0.25 mg
maintenance dosage of 4. 0.37 mg
digoxin (Lanoxin). The
dosage is 0.07 mg/kg/ day, Rationale:
and the client’s weight is
7.2 kg. The health care
provider (HCP) prescribes
the digoxin to begiven twice
daily. The nurse prepares
how much digoxin to
administer to the client at
each dose?
4. Sulfisoxazole (Gantrisin), 1 g
orally four times daily, is • 1⁄2 tablet
prescribed for anadolescent • 1 tablet
with a urinary tract infection. 3. 2 tablets
The medication label reads 4. 3 tablets
“500-mg tablets.” The nurse
has determined that the Rationale:
dosage prescribed is safe. The
nurse administers how many
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectnancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.59. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76658 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now