Question

The client is scheduled for an oxytocin challenge exam using 10 units of oxytocin (Pitocin) in \(1000 \mathrm{~mL}\) of intravenous fluid. Which action by the nurse would ensure safe administration of oxytocin (Pitocin)? A. The nurse inserts a Foley catheter. B. The nurse checks the urinary output every hour. C. The nurse obtains an intravenous infusion pump from central supply. D. The nurse administers an anti-emetic prior to beginning the infusion.

Short answer

Answer: C. The nurse obtains an intravenous infusion pump from central supply.

Step-by-step solution

Understand the oxytocin challenge exam and administration of oxytocin (Pitocin)

The oxytocin challenge exam, also known as a contraction stress test, is performed to evaluate the fetal heart rate response to contractions induced by oxytocin (Pitocin). Oxytocin (Pitocin) is administered intravenously to induce contractions, and the fetal heart rate is monitored during the test. Safe administration of oxytocin (Pitocin) is essential during this procedure.

Analyze option A

Option A is about inserting a Foley catheter. A Foley catheter is used to drain urine from the bladder, which may not directly be related to the safe administration of oxytocin. This option may not be the most appropriate action to ensure the safe administration of Pitocin.

Analyze option B

Option B is about checking the urinary output every hour. While monitoring urinary output is important for overall patient care, it may not have a direct impact on the safe administration of oxytocin. This may not be the most appropriate action in this case.

Analyze option C

Option C is about obtaining an intravenous infusion pump from central supply. An intravenous infusion pump is used to regulate the flow rate of intravenous fluids, including medications such as oxytocin. This device can ensure accurate and controlled administration of oxytocin, which is critical for patient safety. This option seems to be the most appropriate action for ensuring the safe administration of Pitocin.

Analyze option D

Option D is about administering an anti-emetic prior to beginning the infusion. Anti-emetics are used to prevent or treat nausea and vomiting, which may not be directly related to the safe administration of oxytocin. This option may not be the most appropriate action in this case.

Identify the correct action

Based on the analysis of each option, the correct action by the nurse to ensure the safe administration of oxytocin (Pitocin) during an oxytocin challenge exam is: C. The nurse obtains an intravenous infusion pump from central supply.