The physician orders Methergine 0.3 mg by mouth twice a day for postpartum bleeding. The medication is supplied in 0.2-mg tablets. How many tablets will the nurse administer per dose? Round to the nearest tenth.

Choice A reason: Heart failure increases jugular venous pressure due to fluid overload and impaired cardiac output. Decreased pressure is not typical, making this incorrect for expected findings.

Choice B reason: Weight gain, not loss, is expected in heart failure due to fluid retention. Weight loss may occur in advanced stages, but it is not typical, making this incorrect.

Choice C reason: Dyspnea on exertion is a hallmark of heart failure, as reduced cardiac output limits oxygen delivery. Fluid in the lungs exacerbates shortness of breath, making this the correct finding.

Choice D reason: Bradycardia is not typical in heart failure, where tachycardia often compensates for low output. Heart rate abnormalities vary, but dyspnea is more consistent, making this incorrect.

Choice A reason: Increasing the infusion rate is dangerous, as an aPTT of 92 seconds indicates excessive anticoagulation, risking bleeding. The therapeutic range is 1.5–2.5 times normal (45–75 seconds), making this incorrect.

Choice B reason: An aPTT of 92 seconds exceeds the therapeutic range, indicating over-anticoagulation. Decreasing the infusion rate reduces bleeding risk, aligning with protocol adjustments, making this the correct action.

Choice C reason: Continuing the current rate maintains excessive anticoagulation, as 92 seconds is above the therapeutic aPTT range. This risks hemorrhage, requiring rate adjustment, making this incorrect.

Choice D reason: Protamine sulfate reverses heparin in severe bleeding, but an aPTT of 92 seconds typically warrants rate reduction first. Without active bleeding, reversal is premature, making this incorrect.