Practice Question
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg. pulse 80/min. and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Answer Choices:
Correct Answer:
Methylergonovine 0.2 mg 1M now.
Rationale:
⚠️Methylergonovine (Methergine) is contraindicated in clients with hypertension because it causes vasoconstriction, which can further elevate blood pressure and increase the risk of stroke or seizure.
⚠️The client’s blood pressure of 146/94 mm Hg indicates elevated readings, making this medication unsafe.
⚠️While oxytocin and other uterotonics are commonly used to manage heavy bleeding, methylergonovine must be avoided in this situation.
⚠️Administering it without clarification could place the client at significant cardiovascular risk.
⚠️The nurse must always evaluate vital signs and contraindications before implementing postpartum hemorrhage interventions.
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This question is from Custom RN~Maternity Assessment 3, Taylor College FL-ADN which contains 72 questions.
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From Exam
Custom RN~Maternity Assessment 3, Taylor College FL-ADN
72 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4