Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sport should the nurse recommend?

Choice A rationale:

A respiratory rate of 10 bpm (breaths per minute) is significantly below the normal range for an adult but is within the normal range for a newborn. Since the question does not specify the client's age, this information is insufficient to identify it as a complication of magnesium sulfate administration.

Choice B rationale:

A blood pressure of 148/94 is elevated and could be a complication of magnesium sulfate administration. Magnesium sulfate is used to manage pregnancy-induced hypertension, so if the blood pressure remains high or increases further, it could indicate an inadequate response to the treatment or a potential complication.

Choice C rationale:

Deep tendon reflexes of +2 are within the normal range and are not indicative of a complication related to magnesium sulfate administration. In fact, magnesium sulfate can cause muscle weakness and decreased deep tendon reflexes, so an absence of reflexes or extremely diminished reflexes might be a cause for concern.

Choice D rationale:

A urine output of 70 ml/hour is within the normal range for an adult, but without additional information, it is not indicative of a complication related to magnesium sulfate administration. Monitoring urine output is essential to assess renal function and fluid balance, but in this context, it does not provide specific information about the effects of magnesium sulfate.

Choice A rationale:

The medication, Methylergonovine 0.2mg IM, is contraindicated due to the client's blood pressure. The patient's blood pressure reading is 155/95 mmHg, which indicates hypertension (high blood pressure). Methylergonovine is a medication used to manage postpartum hemorrhage by causing uterine contractions and reducing bleeding. However, it is contraindicated in patients with hypertension because it can significantly raise blood pressure, leading to complications such as stroke, heart attack, or hypertensive crisis. Administering this medication to a patient with high blood pressure can worsen their condition and pose serious risks.

Choice B rationale:

The multigravity (G-5) of the client (having had 5 pregnancies) is not a contraindication for Methylergonovine. The number of pregnancies a patient has had does not impact the contraindication criteria for this medication.

Choice C rationale:

The client's drug allergy to penicillin is not a contraindication for Methylergonovine. Allergies to specific medications do not affect the use of Methylergonovine for postpartum hemorrhage.

Choice D rationale:

The client's heart rate, which is not provided in the medical chart, does not directly contraindicate Methylergonovine. However, hypertension (elevated blood pressure) is the primary concern in this scenario, making choice A the correct answer.