Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.After discontinuing the infusion, which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Administer oxygen at 10 L/min via nonrebreather facemask. This action is necessary to ensure adequate oxygenation and prevent hypoxia after discontinuing the infusion. High-flow oxygen via a nonrebreather mask can help maintain oxygen saturation levels and support the client's respiratory function.
Choice B, initiating an amnioinfusion, is incorrect as it is not indicated after discontinuing an infusion. Choice C, instructing the client to bear down and push with contractions, is inappropriate as it is not related to the situation and could potentially be harmful. Choice D, placing the client in a supine position, is not recommended as it can compromise respiratory function.
Choice B, initiating an amnioinfusion, is incorrect as it is not indicated after discontinuing an infusion. Choice C, instructing the client to bear down and push with contractions, is inappropriate as it is not related to the situation and could potentially be harmful. Choice D, placing the client in a supine position, is not recommended as it can compromise respiratory function.