A Client Has Been Treated with Oxytocin (Pitocin) for Postpartum

question 14

Multiple Choice

A client has been treated with oxytocin (Pitocin) for postpartum hemorrhage. Bleeding has stabilized and slowed down considerably. The peripad in place reveals a moderate amount of bright red blood, with no clots expelled when massaging the fundus. The client now complains of having difficulty breathing. Auscultation of breath sounds reveals adventitious sounds. Based on this clinical presentation, the priority nursing action is to:

• A) evaluate intake and output of the past 12 hours following birth.
• B) initiate a rapid response intervention.
• C) obtain an order from the physician for type and crossmatch of 2 units packed red blood cells (PRBCs).
• D) reposition the client and reassess in 15 minutes. Initiate frequent vital sign assessments.

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Definitions:

Pupil

The black central opening of the iris in the eye, through which light enters the eye, adjusting in size to regulate the amount of light that enters.

Glaucoma

A group of eye conditions that can cause blindness by damaging the optic nerve, often associated with high intraocular pressure.

Aqueous Humor

Watery, clear solution that fills the anterior and posterior chambers of the eye.

Suspensory Ligament

A fibrous tissue that connects the lens of the eye to the ciliary body, adjusting the lens's shape for focusing.