A nurse is caring for a client who is postpartum and has a new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When
reviewing the client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine?
Diabetes mellitus
Hypertension
Migraine headaches
Hepatitis B
The Correct Answer is B
- A: Diabetes mellitus is not listed as a contraindication for methylergonovine.
- B: Hypertension is a contraindication for methylergonovine because it can cause severe hypertension and other cardiovascular effects.
- C: Migraine headaches are not listed as a contraindication for methylergonovine.
- D: Hepatitis B is not listed as a contraindication for methylergonovine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Shingles is not contagious; it is caused by the reactivation of the varicella-zoster virus.
B. HIV is not transmitted through routine patient care; universal precautions should be taken.
C. Tuberculosis is an infectious disease that poses a risk to pregnant individuals, so it's best for the pregnant nurse to avoid exposure.
D. Alcoholic pancreatitis and impetigo are not infectious diseases and do not pose a risk of transmission to the pregnant nurse.
Correct Answer is A
Explanation
A.
A. Using a cell phone on the ear opposite to the pacemaker helps minimize the risk of electromagnetic interference with the pacemaker function.
B. Engaging in activities such as playing softball may not be appropriate immediately after pacemaker insertion. The client should follow specific activity restrictions as advised by the healthcare provider.
C. While performing arm exercises is generally beneficial for overall health, the client should avoid strenuous activities that may strain the upper body or disrupt the pacemaker leads
immediately after insertion.
D. Pacemaker battery replacement is typically scheduled based on the device's longevity and is performed in a healthcare facility, not the cardiologist's office. The client should follow up regularly with the healthcare provider for device checks and monitoring of battery status.
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