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SAUNDERS ATI PHARMACOLOGY STUDY GUIDE Week

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The nurse instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed? • “I will flush the eyes after instilling the ointment?” • “I will clean the newborn’s eyes before instilling ointment.” • “I need to administer the eye ointment within 1 hr. after delivery.” • “I will instill the eye ointment into each of the NB’s conjunctiva 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 weeks) who is dilated to 4 cm has been started on magnesium sulfate and contractions have stopped. If the client’s labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication? • Nalbuphine (Nubain) • Betamethasone (Celestone) • Rho(D) immune globulin (RhoGAM) • Dinoprostone (Cervidil vaginal insert) Rationale: Betamethasone, a glucocorticoid increases the production of surfactant to stimulate fetal lung maturation. It is administered to clients in preterm labor 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 blood stream fetal circulation. Dinoprostone (Cervidil vaginal insert) is a prostaglandin given to ripen and soften the cervix and to stimulate uterine contractions. 6. Methylergonovine (Methergine) is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority nursing assessment? • Uterine tone • Blood pressure ABC!!! • Amount of lochia • Deep tendon reflexes 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 report to MD if HTN is present 7. The nurse is preparing to administer beractant 1. Intraderm

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