A nurse is caring for a client with postpartum hemorrhage.
The provider has ordered Methylergonovine 200 mcg intravenously to be administered stat. The nurse should perform which priority assessment prior to administering this medication?

Assess the client’s pain scale.

Assess the client’s respiratory rate.

Assess the client’s blood pressure.

Assess the client’s last bowel movement.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Assess the client’s blood pressure. Methylergonovine is a uterotonic medication that can cause hypertension and is contraindicated for clients with preeclampsia or cardiac disease.

Therefore, the nurse should check the client’s blood pressure before administering this medication to ensure it is within normal range (120/80 mm Hg or lower).

Choice A is wrong because assessing the client’s pain scale is not a priority assessment before giving methylergonovine.

Pain is not a contraindication for this medication and does not affect its effectiveness.

Choice B is wrong because assessing the client’s respiratory rate is not a priority assessment before giving methylergonovine.

Respiratory rate is not affected by this medication and does not indicate any adverse effects.

Choice D is wrong because assessing the client’s last bowel movement is not a priority assessment before giving methylergonovine.

Bowel movement is not related to postpartum hemorrhage or uterine atony, which are the indications for this medication.

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Correct Answer is A

Explanation

he correct answer is choice A. “Instead of having eggs, I am eating yogurt for breakfast.” This statement shows a need for further instruction because eggs are a good source of protein and yogurt is not.

Yogurt is a dairy product that contains mostly carbohydrates and some fat.

Eggs are an animal product that contains mostly protein and some fat.

Protein is important for building and repairing tissues in the body.

Choice B is correct because adding powdered milk to skim milk increases the protein content of the drink.

Powdered milk is a dairy product that contains protein, carbohydrates and fat.

Skim milk is a dairy product that contains protein and carbohydrates but no fat.

Choice C is correct because peanut butter is a good source of protein and healthy fats.

Peanut butter is a plant product that contains protein, fat and some carbohydrates.

Crackers are a grain product that contains mostly carbohydrates and some protein.

Choice D is correct because cream of tomato soup is a good source of protein and calories.

Cream of tomato soup is a processed food that contains tomatoes, cream, flour and seasonings.

Tomatoes are a vegetable that contains mostly water and some carbohydrates.

Cream is a dairy product that contains mostly fat and some protein.

Flour is a grain product that contains mostly carbohydrates and some protein.

Seasonings are herbs and spices that contain mostly flavor and some nutrients.

The normal range of protein intake for adults is 0.8 to 1 gram per kilogram of body weight per day.

This means that an adult who weighs 70 kilograms should consume about 56 to 70 grams of protein per day.

A. “I will begin to practice pelvic tilt exercises.”. B. “I will wear shoes with low heels when I go to work.”. C. “I will sleep on my side with a pillow beneath my knees.”. D. “I will lean slightly backwards when I walk.”.

Correct Answer is D

Explanation

The correct answer is choice D. Leaning slightly backwards when walking can increase the curvature of the lower spine and worsen back pain.

The other choices are helpful methods to alleviate back pain during pregnancy.

Choice A is correct because pelvic tilt exercises can strengthen the abdominal muscles and reduce the strain on the lower back.

Choice B is correct because wearing shoes with low heels can improve posture and balance and prevent excessive arching of the lower back.

Choice C is correct because sleeping on the side with a pillow beneath the knees can support the spine and pelvis and relieve pressure on the lower back.

Normal ranges for back pain during pregnancy vary depending on the individual, but some common factors that can affect it are weight gain, hormonal changes, center of gravity shift, stress and muscle separation.

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A nurse is caring for a client with postpartum hemorrhage. The provider has ordered Methylergonovine 200 mcg intravenously to be administered stat. The nurse should perform which priority assessment prior to administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been instructed to increase the protein in her diet. Which statement by the patient shows a need for further instruction?

Correct Answer is A

Explanation

During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain. Which statement by a class member would indicate the need for additional instruction?

Correct Answer is D

Explanation

A patient who is 38 weeks pregnant is admitted to the hospital in active labor. On admission, the patient says, “For the past ten hours, I have been leaking small amounts of urine.” Which action should the nurse take initially?

A patient who is 33 weeks pregnant has been experiencing Braxton-Hicks contractions.Which information should the nurse include in responding to this patient?

A patient who is attending a family planning clinic is instructed in breast self-examination by a nurse. Which statement by the patient would indicate that she understands the instructions?

When a client reports using cocaine during her current pregnancy, which laboratory study should a nurse anticipate?

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A patient is scheduled for an amniocentesis when she is 18 weeks pregnant. Which instruction concerning amniocentesis should the nurse give to the patient?

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A client is to receive ferrous sulfate tablets. Which drink item will enhance the absorption of the medication?

A nurse is caring for a client with postpartum hemorrhage.
The provider has ordered Methylergonovine 200 mcg intravenously to be administered stat. The nurse should perform which priority assessment prior to administering this medication?