A nurse is caring for a client who has preeclampsia and is experiencing a postpartum hemorrhage. The nurse should expect the provider to prescribe which of the following medications?
Carboprost
Methylergonovine
Oxytocin
Nifedipine
The Correct Answer is C
A. Carboprost: Carboprost is a prostaglandin used to treat postpartum hemorrhage, but it is contraindicated in clients with asthma or certain cardiovascular conditions. While effective, it may not be the first-line choice for a client with preeclampsia.
B. Methylergonovine: Methylergonovine is an ergot alkaloid used to treat postpartum hemorrhage, but it is contraindicated in clients with hypertension or preeclampsia because it can cause severe vasoconstriction and elevate blood pressure.
C. Oxytocin: Oxytocin is the first-line uterotonic for managing postpartum hemorrhage. It promotes uterine contractions, helping to reduce bleeding, and is safe to use in clients with preeclampsia, making it the most appropriate initial medication.
D. Nifedipine: Nifedipine is a calcium channel blocker used to manage hypertension or preterm labor, not for treating postpartum hemorrhage. It does not promote uterine contraction or control bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Temperature 37.4° C (99.3° F): This is a mild elevation and within normal limits for a laboring client. Slight temperature increases can occur due to physical exertion and are not typically concerning.
B. Early decelerations in the FHR: Early decelerations are usually benign and mirror uterine contractions, reflecting fetal head compression. They are not an indication for immediate intervention.
C. Contractions lasting 80 seconds: Normal uterine contractions in active labor typically last 45–80 seconds. While the upper limit of 80 seconds is noted, this alone does not require urgent reporting if the contraction pattern and fetal response remain reassuring.
D. FHR baseline 170/min: A baseline fetal heart rate above 160/min indicates fetal tachycardia, which can result from maternal infection, fetal hypoxia, or other complications. This finding requires prompt notification of the provider for further evaluation and potential intervention.
Correct Answer is D
Explanation
A. Phlebitis: Localized heat can actually help improve circulation and reduce discomfort in mild cases of phlebitis, so it is not an absolute contraindication. Heat therapy may be used cautiously depending on the severity and location.
B. Abdominal aortic aneurysm: Heat therapy applied to areas away from the aneurysm site is generally safe. There is no direct contraindication unless heat is applied over the aneurysm, which could increase local blood flow and risk.
C. Osteoarthritis: Heat therapy is commonly used to relieve joint stiffness and muscle spasms in osteoarthritis. Applying intermittent heat can improve comfort and mobility without causing harm.
D. Peripheral neuropathy: Clients with peripheral neuropathy have impaired sensation and may not perceive excessive heat, increasing the risk of burns or tissue injury. Therefore, impaired sensation is a contraindication for heat therapy to prevent thermal injury.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.