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 D
Explanation
A. Hydralazine is a vasodilator that does not directly replace ACE inhibitors and is not the preferred alternative for managing hypertension or heart failure.
B. Metoprolol is a beta-blocker that is used for different indications and is not a direct substitute for ACE inhibitors.
C. Furosemide is a loop diuretic used for fluid management, not as an alternative to ACE inhibitors.
D. Losartan is an angiotensin II receptor blocker (ARB) and serves as a suitable alternative to ACE inhibitors for patients who experience a cough from them, as ARBs do not typically cause this side effect.
Correct Answer is C
Explanation
A. Morphine is a category C medication, which means it may be used if the benefits outweigh the risks; it is not contraindicated in pregnancy.
B. Famotidine (Pepcid) is also a category B medication and is generally considered safe to use during pregnancy.
C. Misoprostol (Cytotec) is classified as category X due to its association with causing uterine contractions and the potential for fetal harm; thus, it should be avoided during pregnancy.
D. Ibuprofen (Advil) is a category C medication, and while it is not typically recommended in the third trimester, it is not classified as category X.