The nurse is caring for the postpartum client.
Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine (Hemabate) has been effective?

Reduction of fever.

Stable blood pressure.

Increased comfort.

Decreased lochia rubra.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Reduction of fever is not a primary effect of carboprost tromethamine. This medication is primarily used to induce uterine contractions to manage postpartum hemorrhage.

Choice B rationale

While maintaining stable blood pressure is important, it is not the specific indicator of carboprost tromethamine's effectiveness. This medication is used to control bleeding.

Choice C rationale

Increased comfort, although significant, is not the direct effect of carboprost tromethamine. The primary aim is to induce uterine contractions to manage hemorrhage.

Choice D rationale

Decreased lochia rubra indicates the reduction of postpartum bleeding, which is the primary purpose of administering carboprost tromethamine. This outcome shows the medication is effective.

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Correct Answer is B

Explanation

Choice A rationale

While infection prevention is vital, ensuring breathing function is more critical after ASP.

Choice B rationale

ASP affects the respiratory system severely; thus, restoring normal breathing is a primary goal.

Choice C rationale

Gastrointestinal function is less immediately affected by ASP compared to respiratory issues.

Choice D rationale

Voiding without pain is important, but respiratory stability takes precedence.

A. Respiratory rate is 18 breaths/min. B. Urinary output remains at 30 mL/hr. C. Patella reflexes are rated at one. D. Serum magnesium level is 10 mg/dL. . .

Correct Answer is D

Explanation

Choice A rationale

A respiratory rate of 18 breaths/min is normal and does not indicate magnesium toxicity or the need for calcium gluconate.

Choice B rationale

Urinary output of 30 mL/hr is within the acceptable range and does not suggest magnesium toxicity. This indicates adequate renal function.

Choice C rationale

Patellar reflexes rated at one indicate mild hyporeflexia, which can be a side effect of magnesium sulfate but does not necessitate immediate intervention.

Choice D rationale

Serum magnesium level of 10 mg/dL is significantly elevated, indicating magnesium toxicity. Calcium gluconate is the antidote for magnesium toxicity and should be administered promptly to prevent severe complications.

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The nurse is caring for the postpartum client.Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine (Hemabate) has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the appropriate nursing care outcome for a client who suddenly develops anaphylactoid syndrome of pregnancy (ASP) during labor?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

The nurse in a prenatal clinic is reviewing the files of four patients scheduled for visits.Which patient does the nurse identify as having the highest-risk pregnancy?

The nurse is providing care for a patient in the second phase of labor.After more than 4 hours of pushing, the nurse suspects fetal dystocia.Which is the greatest risk related to the nurse's suspected complication?

A delirious client is admitted to the hospital in labor.She has had no prenatal care and vials of crack cocaine are found in her pockets.The nurse monitors this client carefully for which of the following intrapartum complications?

A client with pre-eclampsia with severe features at 38 weeks' gestation is being induced with IV oxytocin.Which of the following would warrant the nurse to stop the infusion?

Included in the definition of tachysystole is:

When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:

The nursing staff in a labor and delivery unit has noticed an increase in the number of patients experiencing placental abruption.The nurses begin to review demographics for the patients involved.Which risk factors will the nurses expect? Select all that apply.

The nurse is caring for the postpartum client.
Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine (Hemabate) has been effective?