Question

In order to monitor for one of the side effects of oxytocin, it is important for the nurse to note the patient's

A temperature.
B intake and output.
C respiratory rate.
D deep tendon reflexes.

Answer 1

Respiratory rate is crucial for monitoring oxytocin's side effects.

Thus the correct option is C.

Explanation

Oxytocin is a hormone commonly administered to induce or augment labor. One of its potential side effects is uterine hyperstimulation, which can lead to fetal distress and compromise maternal oxygenation.

The respiratory rate becomes a critical parameter to monitor as it reflects the patient's ability to exchange gases and maintain adequate oxygenation levels. An increase in respiratory rate may indicate respiratory distress, a possible consequence of uterine hyperstimulation.

Monitoring temperature (Option A) is important in assessing for fever, but it may not directly correlate with oxytocin's side effects. Intake and output (Option B) are valuable for overall fluid balance but may not specifically reflect respiratory distress. Deep tendon reflexes (Option D) are not directly related to oxytocin's effects on respiratory function.

Therefore, the most pertinent parameter for early detection of oxytocin-related complications is the respiratory rate, allowing prompt intervention to ensure the well-being of both the mother and the baby during labor.

Thus the correct option is C.

Answer 2

Monitoring the patient's respiratory rate when administering oxytocin is crucial due to the potential side effect of uterine hyperstimulation. Therefore, the correct answer is option C respiratory rate.

Step-by-step explanation:

Oxytocin is a hormone often administered to induce or augment labor. One of its potential side effects is the occurrence of uterine hyperstimulation, which can lead to fetal distress and compromise maternal well-being. Monitoring the patient's respiratory rate is crucial in assessing for signs of respiratory distress, which may indicate inadequate oxygenation due to uterine hyperstimulation.

Respiratory rate is a sensitive indicator of respiratory compromise and oxygenation status. Uterine hyperstimulation can potentially reduce blood flow to the placenta, compromising oxygen supply to the fetus and leading to maternal hypoxia. The nurse's vigilance in observing the respiratory rate helps detect early signs of respiratory distress, allowing for prompt intervention and prevention of serious complications. This is especially important during oxytocin administration, as close monitoring enables the healthcare team to adjust the dosage or discontinue the medication if necessary to ensure the safety of both the mother and the baby.

In summary, while temperature, intake and output, and deep tendon reflexes are important parameters to monitor in various clinical situations, in the context of oxytocin administration, keeping a close watch on the patient's respiratory rate is paramount for early detection of potential complications related to uterine hyperstimulation and optimizing maternal and fetal outcomes.