A nurse is evaluating the effectiveness of oxytocin infusion for a client who has postpartum hemorrhage.
Which of the following findings indicates that the medication is working?
The uterine fundus is firm and at the level of the umbilicus
The lochia flow is moderate and bright red
The blood pressure is 90/60 mm Hg and pulse is 110/min
The urine output is 25 mL/hr and specific gravity is 1.030
The Correct Answer is A
This indicates that the uterus has contracted well and the bleeding has stopped. Oxytocin is a drug that helps the uterus to contract and prevent postpartum hemorrhage (PPH), which is excessive bleeding after childbirth.
Choice B is wrong because the lochia flow should be moderate and dark red, not bright red. Bright red blood suggests active bleeding and possible PPH.
Choice C is wrong because the blood pressure is low and the pulse is high, which are signs of shock due to blood loss. PPH can cause a dangerous drop in blood pressure and lead to shock or death.
Choice D is wrong because the urine output is low and the specific gravity is high, which are signs of dehydration due to blood loss. PPH can cause fluid imbalance and kidney damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This indicates a need for blood transfusion because it is below the normal range of 12 to 16 g/dL for women.
Hemoglobin is the protein in red blood cells that carries oxygen to the tissues.A low hemoglobin level can cause symptoms of anemia, such as fatigue, weakness, shortness of breath, and dizziness.
Choice B is wrong because hematocrit 30% is within the normal range of 37 to 47% for women.
Hematocrit is the percentage of red blood cells in the blood.A low hematocrit can indicate blood loss, but it is not a criterion for blood transfusion by itself.
Choice C is wrong because platelets 150,000/mm3 are within the normal range of 150,000 to 450,000/mm3 for both men and women.
Platelets are the cells that help with blood clotting.A low platelet count can increase the risk of bleeding, but it is not a criterion for blood transfusion by itself.
Choice D is wrong because potassium 4 mEq/L is within the normal range of 3.5 to 5 mEq/L for both men and women.
Potassium is an electrolyte that helps with nerve and muscle function.
A high or low potassium
Correct Answer is A
Explanation
Methylergonovine is a medication that stimulates uterine contractions and helps prevent or treat postpartum hemorrhage due to uterine atony or retained placental fragments.However, it can also cause an increase in blood pressure, so the nurse should monitor the client’s blood pressure before and after giving the medication.
Choice B. Temperature is wrong because methylergonovine does not affect the client’s temperature.
Choice C. Respiratory rate is wrong because methylergonovine does not affect the client’s respiratory rate.
Choice D. Oxygen saturation is wrong because methylergonovine does not affect the client’s oxygen saturation.
Normal ranges for blood pressure are 120/80 mmHg or lower for systolic and diastolic pressures respectively.
Normal ranges for temperature are 36.5°C to 37.5°C or 97.7°F to 99.5°F.
Normal ranges for respiratory rate are 12 to 20 breaths per minute.Normal ranges for oxygen saturation are 95% to 100%.
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