A nurse is assisting in the care of a client who gave birth 1 hour ago and is experiencing excessive vaginal bleeding.
Which of the following medications should the nurse anticipate the provider will prescribe?
Magnesium sulfate.
Tranexamic acid.
Betamethasone.
Terbutaline.
The Correct Answer is B
Choice A rationale
Magnesium sulfate is used to manage preeclampsia and prevent seizures, not for treating postpartum hemorrhage. It does not address the causes of excessive vaginal bleeding post-birth.
Choice B rationale
Tranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the breakdown of blood clots, making it suitable for managing postpartum hemorrhage.
Choice C rationale
Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor, not for treating postpartum hemorrhage. It has no role in managing excessive bleeding after birth.
Choice D rationale
Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles. It is not used to manage postpartum hemorrhage and excessive vaginal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Checking the fetal heart rate pattern is the priority after an amniotomy. This procedure involves breaking the amniotic sac, which can lead to changes in the fetal heart rate. Immediate assessment ensures the fetus is not in distress.
Choice B rationale
Evaluating for signs of infection is essential post-procedure, but not the immediate priority. Infection signs develop over time, while fetal distress can occur immediately.
Choice C rationale
Observing the color and consistency of amniotic fluid is important for identifying meconium-stained fluid, but it is not as immediately crucial as ensuring fetal well-being.
Choice D rationale
Taking the client's temperature can help monitor for infection later, but it is not the immediate concern following amniotomy. The primary concern is the fetal response.
Correct Answer is B
Explanation
Choice A rationale
Hyperthyroidism is more likely to occur in women of childbearing age and does not have a higher incidence post-menopause. It is often associated with autoimmune disorders such as Graves' disease, which can affect individuals at any age.
Choice B rationale
Graves' disease is an autoimmune disorder that is a common cause of hyperthyroidism. It results from the immune system producing antibodies that stimulate the thyroid gland to produce excessive thyroid hormones.
Choice C rationale
Cardiovascular disease is not a direct cause of hyperthyroidism. However, untreated hyperthyroidism can lead to complications such as atrial fibrillation and heart failure due to the overproduction of thyroid hormones.
Choice D rationale
Hyperthyroidism results in excessive production of thyroid hormones, not too little. This excess leads to symptoms such as weight loss, heat intolerance, tremors, and increased metabolism, distinguishing it from hypothyroidism.
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