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

question 20

Multiple Choice

A patient 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 patient 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 patient and reassess in 15 minutes. Initiate frequent vital sign assessments.

Understand the process and benefits of integrating multiple theories in counseling.

Identify and differentiate between modernism, post-modernism, systemic, and phenomenological approaches in counseling.

Recognize types of integration in counseling, including eclecticism, assimilative integration, systemic treatment selection, and technical eclecticism.

Distinguish between first-order and second-order cybernetics within systemic practices.

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Definitions:

Huckster

A person who sells or advertises something in an aggressive, dishonest, or annoying manner.

Ingratiation

A psychological tactic involving the use of flattery or other forms of social manipulation to gain favor or acceptance from others.

Personal Expertise

The unique skills, knowledge, and experience possessed by an individual in a particular field or area.

Credibility

The quality or state of being believable or trustworthy, often assessed based on past actions, reliability, and integrity.