Pharm 55

The nurse is reviewing the prescriptions of a group of postpartum patients. Which patient needs an additional medication prescription?

D

The nurse is caring for a postpartum patient who is having uterine contractions. Which nonpharmacological nursing intervention would be beneficial to the patient? Select all that apply.

Explaining breathing techniques to the patient Positioning a pillow under the patient's abdomen Ambulating the patient at frequent intervals

The nurse administers Rho(D) immune globulin (RhoGAM) to a patient who is Rh-negative following an ectopic pregnancy. Which adverse effect will the nurse plan to monitor for in the patient?

Fever

While caring for a postpartum patient, the nurse instructs, "Avoid eating beans, cabbage, and onions." Which condition is the nurse trying to prevent?

Flatulence

While caring for a neonate immediately after birth, the nurse finds that the mother had taken antibiotics prior to delivery. Therefore, the nurse administers vitamin K (Aqua-mephyton) to the neonate, as prescribed. Which nursing intervention will ensure the safety of the neonate?

Monitor serum bilirubin levels

The nurse is reviewing the prescriptions of a group of postpartum patients. Which patient needs a change in prescription?

Patient 2

The nurse is caring for a postpartum patient who has hemorrhoids. Which nursing intervention is beneficial to the patient?

Place the patient in the Sims position.

The nurse is caring for a postpartum patient who has constipation and is on bisacodyl (Dulcolax). Which complication would the nurse expect in the patient?

Proctitis

After reviewing the blood test reports of a neonate and a postpartum patient, the nurse administers Human D immune globulin (RhoGAM) to the mother immediately after delivery. What is the reason for this nursing intervention?

The neonate is Rh positive and the mother is Rh negative.

While reviewing a patient's medical history, the nurse finds that the patient is Rh sensitive and has been administered 2 mL of Rh-incompatible red blood cells. The primary health care provider prescribes 50 mcg of human D immune globulin (RhoGAM). What does the nurse infer from this information?

The patient had an abortion within the first 12 weeks of gestation.

Which statement describes the cultural beliefs of Japanese women?

They prefer to take postpartum medications with warm water.

The primary health care provider instructs the nurse to suppress lactation in a patient. Which interventions does the nurse include in the patient's care plan? Select all that apply.

Wear a supportive bra for 24 hours. Administer pyridoxine (Vitamin B6). Apply crushed cabbage leaves to the breasts

The primary health care provider prescribes ibuprofen (Motrin) to a postpartum patient who is having afterbirth pains. Which instructions does the nurse provide to the patient to ensure effective treatment? Select all that apply.

"Do not drink alcohol." "Take this medication with food." "Do not take this medication with aspirin (Anacin)."

The primary health care provider prescribes hepatitis B virus vaccine (inactivated) (Recombivax HB) for a patient. What question does the nurse ask the patient before administering the vaccine in order to ensure drug safety?

"Are you hypersensitive to yeast?"

In a pediatric unit, a child's caregiver asks the nurse, "How is hepatitis B immunoglobulin administered to an infant?" Which statement by the nurse is an appropriate response?

"Hepatitis B immunoglobulin is administered to the infant within 12 hours after birth."

A postpartum patient is prescribed oral bisacodyl (Dulcolax). During a follow-up visit, the patient reports severe abdominal cramps and vomiting. What additional statement by the patient helps the nurse to understand the reason for this condition? Select all that apply.

"I am taking antacids and this medication simultaneously." "I am drinking milk immediately after taking the medication." "I am crushing the medication to make it easier to swallow.

The nurse is reviewing medication instructions with a postpartum patient who is taking benzocaine (Dermoplast) for perineal discomfort. Which statement made by the patient indicates a need for further teaching?

"It is safe to use this drug even if I have an infection."

The nurse is teaching a postpartum patient who has hemorrhoids about self-administration of witch hazel compresses. Which statements does the nurse include in the teaching plan? Select all that apply.

"Place the commercial medicated pads in the refrigerator." CorrectC "Don't insert witch hazel compresses into the rectum." CorrectD "Don't use the medicated pads if you have rectal bleeding.

The nurse is teaching a pregnant patient who has been prescribed ibuprofen (Motrin). What statements should the nurse include in the teaching plan? Select all that apply.

"Stop the medication if you pass dark and tarry stools." "Stop the medication if you find blood in your urine. "Stop the medication if you vomit and it looks like coffee grounds.

A lactating patient tells the nurse, "I am having pain due to cracking of my nipples." What does the nurse suggest to the patient? Select all that apply.

"Use comfort gel pads on your nipples." "Air dry your nipples after washing Break suction with your finger after feeding

The nurse is caring for a pregnant woman who is hepatitis B positive. What will the provider order to prevent hepatitis B infection in the infant?

Administration of immunoglobulin (BayHep B) to the infant

The nurse is caring for a neonate who is born to an HBs Ag-positive mother. The primary health care provider instructs the nurse to administer a vaccine to the neonate. What is the most important nursing intervention in this situation?

Administer 0.5 mL Engerix-B plus 0.5 mL of HBIG within 12 hours of birth.

The nurse is caring for a postpartum woman and her neonate immediately after delivery; their blood types are AB negative and B positive, respectively. What is the best nursing intervention in this situation?

Administer Human D immune globulin (RhoGAM) to the mother within 72 hours.

The nursing instructor is evaluating a student nurse who is administering erythromycin ophthalmic ointment (Ilotycin Ophthalmic) to a newborn. Which student action needs correction?

Administering the medication from the outer canthus to the inner canthus

The nurse is caring for a patient who needs a cesarean section. The nurse finds cefazolin (Ancef) in the patient's prescriptions. When should the nurse administer the drug to the patient?

At the time of the cesarean section

Which site does the nurse prefer for administration of Human D immune globulin (RhoGAM)?

Deltoid muscle

While reviewing the patient's history of allergies, the nurse finds that the patient is allergic to amide-type anesthetics. Which medication would be contraindicated in this patient?

Dibucaine ointment, USP 1% (Nupercaine)

Which medications may cause complications in a patient who is on magnesium hydroxide (milk of Magnesia)? Select all that apply.

Digoxin (Lanoxin) Isoniazid (Nydrazid) Indomethacin (Indocin)

The nurse is caring for a patient who has been administered human D immune globulin (RhoGAM). While caring for the patient, the nurse sees signs of anaphylaxis. What medication would be beneficial in this case?

Epinephrine (Adrenaclick)

The primary health care provider prescribes medications to a newborn immediately after birth. The nurse asks the mother to sign a maternal consent form. Which medication does the nurse administer to the newborn?

Hepatitis B vaccine (Recombivax HB)

The nurse teaches self-administration of tuck suppositories to a postpartum patient. What should the patient do if the suppository becomes soft before use?

Hold the suppository in a foil wrapper under cold water for 2-3 minutes.

The nurse is caring for a postpartum patient who is on ketorolac tromethamine (Toradol). The nurse finds that the patient has developed a tendency to bleed, even after a minor invasive procedure. Which laboratory observation does the nurse correlate with this finding?

Low blood platelet levels

What adverse effects does the nurse expect in patients who are administered Human D immune globulin (RhoGAM)? Select all that apply. Correct

Myalgia Hyperthermia Hyperbilirubinemia

The health care provider has ordered the rubella virus vaccine live MSD (Meruvax II) for a patient for immunization against German measles. The nurse reviews the medication record and would contact the health care provider if the patient was allergic to which medication?

Neomycin

The postpartum nurse is reviewing instructions to a postpartum patient who has been ordered mineral oil for treatment of constipation. How will the nurse instruct the patient to take this medication?

On an empty stomach

The nurse is assessing a pregnant woman who is Rh negative. After assessment, the nurse finds that the woman's first child is Rh positive. When the nurse checks the woman's immunization status, the nurse finds that the woman had her last tetanus booster about 5 months earlier. What should the nurse understand from this information?

Rho(D) immunoglobulin (Rho-GAM) should be injected into the woman 72 hours after delivery.

A post-cesarean patient reports excessive gas in the stomach. Which drug does the nurse expect to be most beneficial to the patient?

Simethicone (Phazyme tab)

The nurse is assessing a patient who is pregnant with her second baby. While reviewing the patient's medical history, the nurse finds that the patient was administered Human D immune globulin (RhoGAM) 25 days after her first delivery. What does the nurse infer from these findings?

The fetus is at risk for hemolysis.

While preparing to administer the second dose of recombinant hepatitis B (Recombivax HB) vaccine to a 1-month-old infant, the nurse decides to withhold administration of the vaccine and notifies the primary health care provider. What could be the reason for withholding the vaccine?

The infant may be allergic to yeast.

The primary health care provider is planning to perform a circumcision on a neonate immediately after birth. What does the primary health care provider instruct the nurse before performing the circumcision?

To administer Vitamin K1 (Aqua-mephyton)

A patient who is suffering from a vaginal infection gives birth via vaginal delivery. The nurse administers erythromycin ophthalmic ointment (Ilotycin Ophthalmic) to the neonate immediately after birth. What is the reason for this nursing intervention?

To prevent gonococcal conjunctivitis in the neonate