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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 B

Explanation

Choice A rationale:

Referring the client to crisis intervention services might be necessary, but before doing so, the nurse should gather information to understand the client's current situation and coping mechanisms.

Choice B rationale:

Assessing the client's previous coping methods helps the nurse understand the client's strengths and provides insights into potential strategies for managing the crisis effectively.

Choice C rationale:

Discussing the cause of the crisis might be helpful, but it's important to first assess the client's current coping abilities and resources.

Choice D rationale:

Assisting the client in developing strategies to overcome the crisis is important, but it should come after a thorough assessment of the client's current coping mechanisms and situation.

A. Client report of back pain of 7 on a 0 to 10 scale B. Excoriated folds of the client's panniculus C. Hypoactive bowel sounds upon auscultation D. urine output of 80 mL in the past hour

Correct Answer is A

Explanation

Choice A rationale:

Postoperative pain management is crucial for the client's comfort and recovery.

Choice B rationale:

Excoriated folds of the client's panniculus might be related to skin irritation and can be addressed without immediate provider notification.

Choice C rationale:

Hypoactive bowel sounds can be expected after surgery and might not require immediate reporting.

Choice D rationale:

Urine output of 80 mL in the past hour might be influenced by various factors and is not as high a priority as severe pain.

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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?

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