Week 1
IV Iron Dextran therapy nursing actions
What is
1. administer slowly
2. monitor for anaphylaxis
3. be prepared to administer epinephrine
Asymptomatic hypoglycemia who is not NPO would need?
15g of a simple carbohydrate (milk, juice, glucose tabs)
Cirrhosis affects vitamin K by
What is vitamin K cannot be absorbed and leads to no clotting factors being produced
A result of increased vascular permeability in preeclampsia includes
1. proteinuria
2. generalized edema
3. pulmonary edema
Nursing interventions for a client with uterine tachysystole
What is
1. place client in side lying position
2. IV fluid bolus of LR
3. decrease or stop oxytocin infusion
4. administer oxygen
Epotein alfa should never be administered when?
What is when hemoglobin is greater than 11 g/dL
Asymptomatic hypoglycemic client who is NPO would need
What is IM glucagon
True or False: The liver can break down protein byproducts
A magnesium level greater than 10 mEq/L indicates
What is toxicity
Oxytocin infusion needs interrupted if
What is
1. IF individual contractions last longer than 2 minutes
2. IF there's increased fetal heart rate without variability
What is potassium
The pathophysiology of Portal hypertension is
a blockage from the portal vein that seeks alternative channels resulting in ascites
Medications to treat hypertension in the intrapartum client include (list all 3)
1. labetalol
2. nifedipine
3. hydralazine
Dinoprostone gels is used to
What is improve cervical ripening
Terbutaline is in the drug class of ______ and adverse effects include
What is a beta 2 agonist
Adverse effects:
1. tachycardia
2. palpitations
3. arrythmias
4. chest pain
5. MI
Hyperglycemic-hyperosmolar state (HHS) should be focused on what priority nursing action?
What is to increase blood volume to prevent shock or hypotension from dehydration
The pathophysiology of esophageal varices
What is as blood backs up from the liver, it enters the esophageal veins causing fragile, tortuous veins
Nursing actions for magnesium toxicity include
What is
1. contact provider to report leve
2. 1gm calcium gluconate
3. place client on left side
4. administer oxygen
5. monitor for signs of toxicity
What is
1. uterine tachysytole
2. N/V
3. fever
4. diarrhea
Medications for postpartum hemorrhage include
What is
1. oxytocin
2. Methergine
3. dinoprostone
4. misoprostol
Medication that is given when client is NPO and blood sugar is 42g/dL
What is dextrose 50% (D50) IV
Splenomegaly leads to
What is thrombocytopenia and increased risk of bleeding
Labs that are evaluated in a client with HELLP Syndrome
What is
1. elevated AST
2. elevated ALT
3. decreased platelets
4. hemolysis of red blood cells
More than five contractions in 10 minutes
Oxytocin is given after labor to
What is
1. prevent hemorrhagic shock
2. prevents uterine atony