For a client admitted for induction of labor with a score of 10, which drug is the nurse likely to administer?

In the context of a labor induction for a client with a Bishop score of 10, oxytocin is often the drug of choice. The Bishop score is a clinical assessment used to evaluate the readiness of the cervix for labor. A score of 10 indicates that the cervix is favorable for induction, typically revealing sufficient dilation, effacement, and position, among other factors.

Oxytocin is a naturally occurring hormone that plays a crucial role in stimulating uterine contractions and facilitating labor. When used for induction in a patient with a favorable Bishop score, it helps in augmenting the labor process effectively. The dosage of 30 units in 500 mL of D5W is a standard method of administration, allowing for titration based on the patient's response and contraction pattern.

Other options, such as prostaglandin gel and misoprostol, are generally used for cervical ripening, especially when the Bishop score is lower. These medications are effective for cervical softening but are not typically necessary when the score indicates a favorable cervix for initiation of labor. Therefore, in this scenario, administering oxytocin aligns with established clinical guidelines when the cervix is sufficiently prepared for labor.