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?
Methylergonovine
Carboprost
Nifedipine
Oxytocin
The Correct Answer is D
A. Methylergonovine: While effective for postpartum hemorrhage, it causes vasoconstriction and can raise blood pressure significantly. It is contraindicated in clients with preeclampsia or hypertension due to the risk of stroke or hypertensive crisis.
B. Carboprost: Carboprost is used to treat postpartum hemorrhage, but it may increase blood pressure and is used cautiously in clients with preeclampsia. It is not typically the first-line treatment in hypertensive patients.
C. Nifedipine: Nifedipine is a calcium channel blocker used for managing hypertension and preterm labor, not for controlling postpartum bleeding. It does not cause uterine contraction and is not effective for hemorrhage.
D. Oxytocin: Oxytocin stimulates uterine contractions and is the first-line medication for managing postpartum hemorrhage. It does not raise blood pressure, making it safe and effective for clients with preeclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The client was intubated without complications.": While relevant to the surgical process, this detail is more critical in the operating or PACU setting and less essential for ongoing post-op care unless complications occurred.
B. "The client is a member of the board of directors.": This is not clinically relevant and violates the client’s confidentiality by sharing unnecessary personal information.
C. "There was a total of 10 sponges used during the procedure.": Sponge count is important intraoperatively, but it is not typically necessary in a hand-off unless a count discrepancy occurred.
D. "The estimated blood loss was 250 milliliters.": This is clinically relevant and necessary for postoperative monitoring. It informs the receiving nurse about potential volume loss and the need to monitor for signs of hypovolemia.
Correct Answer is A
Explanation
A. Severe abdominal pain: Abruptio placentae involves the premature separation of the placenta from the uterine wall, which typically causes sudden, severe abdominal pain along with uterine tenderness and rigidity. It is a medical emergency that can compromise fetal and maternal outcomes.
B. Delayed menses: Delayed menses is an early sign of pregnancy and not specific to placental abruption. It does not provide relevant diagnostic information regarding acute complications like abruptio placentae.
C. Nausea: While nausea is common in early pregnancy due to hormonal changes, it is not a hallmark symptom of abruptio placentae and would not typically guide diagnosis in this context.
D. First trimester bleeding: Bleeding from abruptio placentae usually occurs in the second or third trimester. First trimester bleeding is more commonly associated with conditions like miscarriage or ectopic pregnancy.
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