Anesthetics and Hypersensitivity Quiz

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Questions and Answers

Which drug was not mentioned as an agent for drug therapy in lactation suppression?

Chlorotrianisene

Progestin-only pills (correct)

Bromocriptine mesylate

Deladumone OB

What complication is associated with high dosages of estrogen for lactation suppression?

Contact dermatitis

Thrombophlebitis (correct)

Urticaria

Decreased peristalsis

What nonpharmacologic measure is recommended for nursing mothers to suppress lactation?

Taking warm baths

Increased liquid intake

Engaging in regular exercise

Wearing a supportive bra (correct)

What effect does progesterone have during the postpartum period related to bowel function?

Decreases peristalsis Signup and view all the answers

Which side effect is NOT listed as a potential reaction to amide-type anesthetics?

Anxiety Signup and view all the answers

What is a common cause of constipation during the postpartum period?

Decreased peristalsis due to progesterone Signup and view all the answers

Lactation suppression is currently best managed by which of the following approaches?

Nonpharmacologic measures Signup and view all the answers

Which condition is NOT considered a side effect of amide-type anesthetics?

Thorough sedation Signup and view all the answers

What is the primary action of docusate sodium in promoting bowel function?

Reduces surface tension of the stool Signup and view all the answers

What is a potential side effect of prolonged use of docusate sodium?

Bowel dependence Signup and view all the answers

In which situation is docusate sodium contraindicated?

Intestinal obstruction Signup and view all the answers

How does the dosage of docusate sodium vary among different formulations?

Doses range from 50 to 400 mg daily Signup and view all the answers

What is a specific consideration when using docusate sodium?

Compatible with breastfeeding Signup and view all the answers

Which of the following statements is true regarding the sodium content in docusate sodium formulations?

The sodium amount per dosage is clinically insignificant Signup and view all the answers

Which adverse effect is associated with docusate sodium?

Rash Signup and view all the answers

What is the maximum recommended duration for using docusate sodium?

1 week Signup and view all the answers

What is the primary reason for administering vitamin K1 to newborns?

To facilitate the production of clotting factors Signup and view all the answers

Which of the following conditions may indicate the need for a higher dosage of vitamin K1 after birth?

Jaundice and hyperbilirubinemia Signup and view all the answers

What can be a side effect of administering vitamin K1 to a newborn?

Pain and edema at the injection site Signup and view all the answers

Which of the following best explains why newborns have low prothrombin levels?

They have limited intestinal flora Signup and view all the answers

What time frame is recommended for checking vitamin K1 administration dosages after birth?

6-8 hours after injection Signup and view all the answers

Why might some newborns need a vitamin K1 injection instead of oral administration?

They are unable to absorb the oral dosage effectively Signup and view all the answers

What type of drugs may require higher dosages of vitamin K1 during pregnancy?

Antituberculosis drugs Signup and view all the answers

Which substance does Phytonadione directly facilitate the production of in the newborn's liver?

Clotting factors Signup and view all the answers

What nursing diagnosis should be prioritized for TA based on her concerns regarding docusate use while breastfeeding?

Fear related to potential harm to breastfeeding Signup and view all the answers

Which of the following statements about docusate with sennosides is most relevant when addressing TA's concerns?

It is safe for use during lactation. Signup and view all the answers

In a scenario where a patient expresses reluctance to take medication, which approach should a nurse prioritize?

Educate the patient about the medication's benefits and safety. Signup and view all the answers

Which potential side effect of the sennosides component should the nurse monitor?

Diarrhea Signup and view all the answers

What is the appropriate action for a nurse when a patient is hesitant to take a prescribed medication?

Discuss the benefits and risks of the medication. Signup and view all the answers

What is a key factor to consider when advising postpartum women regarding medication and breastfeeding?

The timing of medication administration Signup and view all the answers

How does the nurse's understanding of pharmacology influence patient care in breastfeeding mothers?

It helps in assessing potential drug interactions. Signup and view all the answers

What is a priority assessment for the nurse after TA takes the docusate medication?

Monitoring for bowel movement changes Signup and view all the answers

Which educational topic would be most beneficial for TA regarding her concerns about taking docusate?

The safety profile of docusate during lactation Signup and view all the answers

What is an important consideration for nurses when educating postpartum patients about medications?

Patient-specific factors may affect medication safety. Signup and view all the answers

What is a potential immediate side effect for the newborn following the vaccination process?

Soreness at the injection site Signup and view all the answers

What nursing diagnosis should be prioritized for TA after the delivery given her history of a fourth-degree laceration?

Impaired skin integrity Signup and view all the answers

What notable condition did TA present with during labor that could complicate her delivery?

Gestational hypertension Signup and view all the answers

Which of the following is an expected Apgar score for a newborn who is in good health shortly after birth?

7 and 9 Signup and view all the answers

What should the nursing intervention focus on after assessing TA's wishes to breastfeed her infant?

Facilitating skin-to-skin contact Signup and view all the answers

What should a nurse monitor closely in the newborn given the birth method used?

Respiratory rate Signup and view all the answers

What is a common nursing diagnosis for mothers who have undergone an episiotomy?

Acute pain Signup and view all the answers

What psychosocial challenge might TA face after returning home with her newborn?

Feeling overwhelmed by parental responsibilities Signup and view all the answers

Study Notes

Hypersensitivity to Anesthetics

Amide-type anesthetics can cause hypersensitivity reactions.
Common side effects include burning sensation, tenderness, irritation, and inflammation.
Possible skin reactions: contact dermatitis, urticaria, cutaneous lesions, and edema.

Lactation Suppression

Historic drug therapy with agents like chlorotrianisene, Deladumone OB, and bromocriptine mesylate previously used to suppress lactation.
Estrogenic treatments are less favored due to an increased risk of thrombophlebitis and potential carcinogenic effects.
Current recommendations emphasize nonpharmacologic methods, such as:
- Wearing a supportive bra 24 hours a day for 10-14 days.
- Applying axillary ice packs to aid in suppression.

Promotion of Bowel Function

Constipation frequently occurs postpartum, worsened by progesterone's effects on smooth muscle leading to reduced peristalsis.
Interventions for postpartum bowel function may include medications to promote bowel movements.
Docusate Sodium is commonly used:
- Dosage: 100 mg PO twice daily.
- Softens stool through reduced surface tension.
- Compatible with breastfeeding.
- Caution: Contraindicated with intestinal obstruction, acute abdominal pain, and prolonged use risks bowel dependence.

Vitamin K Administration

Newborns receive vitamin K (Phytonadione) to prevent deficiencies due to limited intestinal flora.
Vitamin K facilitates the production of clotting factors to avoid low prothrombin levels.
Common side effects include pain and edema at the injection site, with potential allergic reactions.
Newborns may experience jaundice following large doses of vitamin K.

Case Analysis Instructions

Analyze provided scenarios for nursing diagnoses for mother and newborn.
Identify five nursing diagnoses for each, prioritizing them accordingly.

Constipation Concerns Post-Delivery

Post-delivery concerns regarding bowel movements often arise, particularly after an episiotomy.
Docusate with sennosides can assist with bowel movements, but may raise concerns for breastfeeding mothers.
Nurses should address anxieties based on the medication’s safety profile and explain its compatibility with breastfeeding.

Assessment Rubrics

Clear evaluations are crucial for the analysis of case scenarios based on criteria such as clarity, appropriate issue analysis, critical thinking, organization, and grammar/spelling accuracy.

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Description

Test your knowledge on amide-type anesthetics and their associated hypersensitivity reactions. This quiz covers the common side effects, including burning sensations and other reactions. Enhance your understanding of anesthetic safety and patient management.