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A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication?

WBC count 12.000/mm3

History of asthma

Hgb 11.2 g/dL.

Blood pressure 154/98 mm Hg

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.

Choice B rationale:

Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.

Choice C rationale:

Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.

Choice D rationale:

Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.

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Correct Answer is A

No explanation

A. "My ankles get swollen after standing at work." B. "My gums bleed when I brush my teeth." C. "I have constant pain in the middle of my upper abdomen." D. "I feel dizzy when I lay flat on my back.

Correct Answer is C

Explanation

Choice A rationale:

Ankle swelling can be a common symptom of pregnancy and is not necessarily indicative of a complication.

Choice B rationale:

Gums can become more sensitive during pregnancy, leading to bleeding while brushing teeth. This finding is common and not necessarily indicative of a complication.

Choice C rationale:

Constant pain in the middle of the upper abdomen can be a sign of preeclampsia, a serious pregnancy complication that requires prompt medical attention.

Choice D rationale:

Feeling dizzy when lying flat on the back (supine hypotension) can be a common discomfort during pregnancy due to pressure on the vena cava. However, it does not necessarily indicate a complication in this context.

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A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication?

Nursing Test Bank

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