NRSG 3100 Final | Questions with 100% Verified Answers | Latest Update
Question: 10 rights of medication administration
Answer:
Right Dose Right Medication Right Patient Right Route Right Time Right Patient Education
Right Documentation Right of the Patient to Refuse Right Assessment Before Administration
Right Evaluation following Administration
Question: high alert medications
Answer:
medications that have a high risk of causing patient harm when used in error Epinephrine
Propofol Heparin Amiodarone Potassium chloride (IV concentrate) Oxytocin Magnesium
sulfate Narcotics (Children) Insulin
Question: Where to file a medical error
Answer:
Written incident must be completed, but it should NOT be included in the client's medical
record
Question: Actions to take if a med error occurs
Answer:
Assess and stabilize the patient Notify the physician and pharmacist Notify the patient and
family Monitor as needed
Question: Uterine stimulants
Answer:
oxytocin (Pitocin) prostaglandins carboprost (Hemabate) misoprostol (Cytotec)
methylergonovine (Methergine)
Question: Uterine Relaxants
Answer:
magnesium sulfate nifedepine (Adalat, Procardia) terbutaline (Brethine)
Question: Oxytocics
Answer:
drugs that stimulate uterine contractions and promote the induction of labo
,Question: Where is oxytocin released from
Answer:
posterior pituitary
Question: Why isn't nipple stimulation recommended to cause labor
Answer:
Need direct medical supervision, need to be monitoring baby to make sure it's okay
Question: MOA of pitocin
Answer:
Increases the intensity and frequency of uterine smooth muscle contractions
Question: When to give pitocin
Answer:
Given IV during antepartum period to induce labor in cases of medically-indicated induction.
May be used to augment spontaneous labor. Should not be used for elective induction of labor
Oxytocin is also approved to reduce postpartum hemorrhage!!! after expulsion of the placenta
Approved at higher doses for adjunct management of incomplete or inevitable abortion!!!
Question: AE of pitocin
Answer:
n/v, fetal tachycardia, fetal bradycardia, uterine rupture, water intoxication (oxytocin has an
antidiuretic effect) maternal HTN
Question: When to never give pitocin
Answer:
evidence of fetal distress placenta previa conditions in which vaginal birth would be
contraindicated
Question: How long is the half life of Pit
Answer:
5 minutes so see effect quickly and adjust a lot
Question: Drug class of carbprost (Hemabate)
Answer:
Prostaglandins, synthetic form of endogenous prostaglandin F2 alpha
,Question: When to give carbopost (Hemabate)
Answer:
Approved for controlling postpartum bleeding that has not already responded to oxytocin,
administered IM q15-90 minutes Approved for inducing pharmacologic abortion between
13-20 weeks gestation
Question: AE for carborpost (Hemabate)
Answer:
nausea, vomiting, diarrhea!!!!! fever, headache, uterine rupture!!
Question: Who cannot have carboprost (Hemabate)
Answer:
Do not administer to patients with history of asthma
Question: In post partum hemmorage in which order are the drugs
normally used
Answer:
Pitocin Methergine Hemabate Cytotec
Question: Drug class of Misoprostol (Cytotec)
Answer:
Prostaglandins, synthetic form of prostaglandin E1
Question: Indications for misoprostol (Cytotec)
Answer:
Approved for prevention of gastric ulcers in patients who are taking high doses of NSAIDs.
Used as an off-label medication to induce abortion, control postpartum bleeding, cervical
ripening, labor induction
Question: AE for Misoprostol
Answer:
headache, diarrhea, abdominal cramping, nausea
Question: What is special about misoprostol (Cytotec)
Answer:
Can be administered: PO, PR, vaginally, and sublingual
, Question: Why may misoprostol be given before carboprost
Answer:
Misoprostol ripens cervix while carboprost causes contractions
Question: Drug class of methylergonovine (Methergine)
Answer:
Ergot Alkaloid
Question: What is methylergonovine (Methergine) used for?
Answer:
Control postpartum hemorrhage and restore uterine tone
Question: AE for methylergonovine (Methergine)
Answer:
N/V, uterine cramping, shock, severe HTN!!!!! dysrhythmias
Question: Who shouldn't be given methergine
Answer:
hypertension pregnancy (only use postpartum)
Question: What is special about methergine
Answer:
May be given PO, IM, or IV IV route used for emergency situations and may cause serious
HTN or maternal stroke Uterine contractions begin 3-5 minutes after IM injection Monitor BP
closely Works super fast and that is why it used, Think of meth, tachy BP and working fast
Question: Tocolytics
Answer:
used to suppress uterine contractions
Question: How long can most tocolytics delay birth
Answer:
24-72 hours, but this is often enough time to improve fetal lung development (e.g.
betamethasone)
Question: 10 rights of medication administration
Answer:
Right Dose Right Medication Right Patient Right Route Right Time Right Patient Education
Right Documentation Right of the Patient to Refuse Right Assessment Before Administration
Right Evaluation following Administration
Question: high alert medications
Answer:
medications that have a high risk of causing patient harm when used in error Epinephrine
Propofol Heparin Amiodarone Potassium chloride (IV concentrate) Oxytocin Magnesium
sulfate Narcotics (Children) Insulin
Question: Where to file a medical error
Answer:
Written incident must be completed, but it should NOT be included in the client's medical
record
Question: Actions to take if a med error occurs
Answer:
Assess and stabilize the patient Notify the physician and pharmacist Notify the patient and
family Monitor as needed
Question: Uterine stimulants
Answer:
oxytocin (Pitocin) prostaglandins carboprost (Hemabate) misoprostol (Cytotec)
methylergonovine (Methergine)
Question: Uterine Relaxants
Answer:
magnesium sulfate nifedepine (Adalat, Procardia) terbutaline (Brethine)
Question: Oxytocics
Answer:
drugs that stimulate uterine contractions and promote the induction of labo
,Question: Where is oxytocin released from
Answer:
posterior pituitary
Question: Why isn't nipple stimulation recommended to cause labor
Answer:
Need direct medical supervision, need to be monitoring baby to make sure it's okay
Question: MOA of pitocin
Answer:
Increases the intensity and frequency of uterine smooth muscle contractions
Question: When to give pitocin
Answer:
Given IV during antepartum period to induce labor in cases of medically-indicated induction.
May be used to augment spontaneous labor. Should not be used for elective induction of labor
Oxytocin is also approved to reduce postpartum hemorrhage!!! after expulsion of the placenta
Approved at higher doses for adjunct management of incomplete or inevitable abortion!!!
Question: AE of pitocin
Answer:
n/v, fetal tachycardia, fetal bradycardia, uterine rupture, water intoxication (oxytocin has an
antidiuretic effect) maternal HTN
Question: When to never give pitocin
Answer:
evidence of fetal distress placenta previa conditions in which vaginal birth would be
contraindicated
Question: How long is the half life of Pit
Answer:
5 minutes so see effect quickly and adjust a lot
Question: Drug class of carbprost (Hemabate)
Answer:
Prostaglandins, synthetic form of endogenous prostaglandin F2 alpha
,Question: When to give carbopost (Hemabate)
Answer:
Approved for controlling postpartum bleeding that has not already responded to oxytocin,
administered IM q15-90 minutes Approved for inducing pharmacologic abortion between
13-20 weeks gestation
Question: AE for carborpost (Hemabate)
Answer:
nausea, vomiting, diarrhea!!!!! fever, headache, uterine rupture!!
Question: Who cannot have carboprost (Hemabate)
Answer:
Do not administer to patients with history of asthma
Question: In post partum hemmorage in which order are the drugs
normally used
Answer:
Pitocin Methergine Hemabate Cytotec
Question: Drug class of Misoprostol (Cytotec)
Answer:
Prostaglandins, synthetic form of prostaglandin E1
Question: Indications for misoprostol (Cytotec)
Answer:
Approved for prevention of gastric ulcers in patients who are taking high doses of NSAIDs.
Used as an off-label medication to induce abortion, control postpartum bleeding, cervical
ripening, labor induction
Question: AE for Misoprostol
Answer:
headache, diarrhea, abdominal cramping, nausea
Question: What is special about misoprostol (Cytotec)
Answer:
Can be administered: PO, PR, vaginally, and sublingual
, Question: Why may misoprostol be given before carboprost
Answer:
Misoprostol ripens cervix while carboprost causes contractions
Question: Drug class of methylergonovine (Methergine)
Answer:
Ergot Alkaloid
Question: What is methylergonovine (Methergine) used for?
Answer:
Control postpartum hemorrhage and restore uterine tone
Question: AE for methylergonovine (Methergine)
Answer:
N/V, uterine cramping, shock, severe HTN!!!!! dysrhythmias
Question: Who shouldn't be given methergine
Answer:
hypertension pregnancy (only use postpartum)
Question: What is special about methergine
Answer:
May be given PO, IM, or IV IV route used for emergency situations and may cause serious
HTN or maternal stroke Uterine contractions begin 3-5 minutes after IM injection Monitor BP
closely Works super fast and that is why it used, Think of meth, tachy BP and working fast
Question: Tocolytics
Answer:
used to suppress uterine contractions
Question: How long can most tocolytics delay birth
Answer:
24-72 hours, but this is often enough time to improve fetal lung development (e.g.
betamethasone)
