A nurse is collecting data from the guardian of a toddler during a well-child visit. The guardian expresses concern to the nurse because his child has a poor appetite, but drinks a quart of milk each day.

The nurse should identify that this practice places the toddler at risk for which of the following conditions?

b. Methylergonovine.

Explanation:

Postpartum hemorrhage is a significant complication that can occur after childbirth. Methylergonovine is a medication commonly used to manage postpartum hemorrhage. It is an ergot alkaloid that helps to contract the uterus, reducing bleeding. It is typically administered either intramuscularly or orally.

Option a, Terbutaline, is a medication used for the management of preterm labor by relaxing the uterine smooth muscles. It is not indicated for postpartum hemorrhage.

Option c, Magnesium sulfate, is a medication used for the prevention and treatment of seizures in patients with preeclampsia or eclampsia. It is not specifically indicated for postpartum hemorrhage.

Option d, Nifedipine, is a calcium channel blocker commonly used to manage hypertension. It is not indicated for postpartum hemorrhage.

It's important to note that the specific management of postpartum hemorrhage may vary depending on the underlying cause, severity of bleeding, and individual patient factors. The healthcare provider will determine the most appropriate interventions and medications for each case.

a . Provide a tour of the perioperative area prior to surgery.

The correct answer is a. Provide a tour of the perioperative area prior to surgery.

Explanation:

When caring for an adolescent scheduled for surgery, providing a tour of the perioperative area prior to the procedure is an important action for the nurse to take. Adolescents may experience fear and anxiety related to the unfamiliar environment and procedures associated with surgery. Providing a tour allows the adolescent to become familiar with the surroundings, equipment, and healthcare team, which can help alleviate anxiety and promote a sense of control.

Explanation for the other options:

b. Explain that anesthesia is a special type of sleep: While it is important to provide information about anesthesia to the adolescent, describing it as a "special type of sleep" may be misleading. Anesthesia is a medical procedure that involves more than just being asleep, and it is important to provide accurate information to the adolescent.

c. Keep medical equipment out of the client's sight: While it is important to create a comfortable and non- threatening environment for the adolescent, completely hiding medical equipment may not be feasible or necessary. Instead, the nurse should address any specific fears or concerns the adolescent may have and provide age-appropriate explanations and reassurance.

d. Wait until after surgery to explain the importance of coughing and deep breathing: It is important to provide preoperative education to the adolescent to promote their understanding and cooperation. Explaining the importance of coughing and deep breathing before surgery helps the adolescent prepare and participate in their own recovery. Waiting until after surgery may result in missed opportunities for early postoperative interventions.

In summary, providing a tour of the perioperative area prior to surgery helps familiarize the adolescent with the environment, reducing anxiety and promoting a sense of control.