The nurse is caring for a patient who is currently receiving oxytocin (Pitocin). What will the nurse anticipate as an expected outcome of this medication?
Inducing labor in full-term gestation clients
Preventing contractions in pre-term clients
Prevention of pregnancy
Increase the amounts of eggs produced during ovulation
The Correct Answer is A
A. Oxytocin is primarily used to induce or augment labor in full-term clients, making this the correct statement regarding its expected outcome.
B. Oxytocin is not used to prevent contractions; it is used to stimulate them, especially during labor.
C. Oxytocin is not a contraceptive; it does not prevent pregnancy but is used in labor management.
D. Oxytocin does not influence egg production; it primarily affects uterine contractions and milk ejection in breastfeeding.
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Correct Answer is B
Explanation
A. Discontinuing metformin 24 hours before a CT scan is longer than necessary and not standard practice.
B. It is generally recommended that metformin be held for at least 12 hours before the administration of IV contrast to reduce the risk of lactic acidosis, especially in clients with renal impairment.
C. Six hours is insufficient time to ensure the medication is cleared from the system, considering the potential risks.
D. Discontinuing metformin for 48 hours is overly cautious and not necessary unless there are complications that arise after the contrast is administered.
Correct Answer is A
Explanation
A. Following the insertion of the Nexplanon rod, it is important to inform the client that backup contraception methods are needed for the first 24 hours to ensure pregnancy prevention while the implant becomes effective.
B. While smoking cessation is advised due to the increased risk of thrombotic events with hormonal contraceptives, it is not the priority instruction immediately following the insertion of Nexplanon.
C. The statement regarding weight loss is incorrect; Nexplanon is more commonly associated with weight gain rather than loss, so advising clients on calorie consumption is misleading.
D. Although Nexplanon has a high efficacy rate in preventing pregnancy, stating a prevention rate of 100% is inaccurate and misleading, as no contraceptive method is completely foolproof.