A nurse is caring for a client who has been given methylergonovine intramuscularly for a postpartum hemorrhage. The nurse should monitor for which of the following adverse effects?
Hematuria
Elevated blood pressure
Uterine relaxation
Diarrhea
The Correct Answer is B
A. Hematuria: Hematuria is not a typical adverse effect of methylergonovine. This medication primarily affects uterine smooth muscle and vascular tone, so urinary complications are uncommon.
B. Elevated blood pressure: Methylergonovine is a potent vasoconstrictor, which can lead to hypertension. Monitoring blood pressure is essential because severe elevations can increase the risk of stroke or cardiac complications, especially in clients with preexisting hypertension.
C. Uterine relaxation: Methylergonovine promotes uterine contraction, not relaxation. Uterine relaxation would be contrary to the intended therapeutic effect of preventing or controlling postpartum hemorrhage.
D. Diarrhea: Gastrointestinal upset, including nausea, vomiting, or diarrhea, can occur but is less common and typically mild. Blood pressure changes are the primary adverse effect requiring close monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
Total Volume: 1,000 mL
Infusion Time: 8 hours
- Calculate the infusion rate
Infusion Rate (mL/hr) = Total Volume ÷ Time (hr)
Infusion Rate = 1,000 ÷ 8
Infusion Rate = 125 mL/hr
Correct Answer is C
Explanation
A. Massage the lower leg in smooth, long strokes: Massaging the lower leg after knee arthroplasty increases the risk of dislodging a thrombus, especially in the early postoperative period when the client is at high risk for deep vein thrombosis. Mechanical manipulation of the limb should be avoided to reduce embolic risk.
B. Place a pillow under the client's surgical knee: Placing a pillow under the knee promotes flexion and can lead to joint contractures. After knee arthroplasty, the knee should be kept in extension to support proper alignment and prevent stiffness. A pillow may be placed under the calf instead if elevation is needed.
C. Use the continuous passive-motion machine intermittently: Continuous passive-motion machines are used early after knee arthroplasty to improve joint mobility, reduce stiffness, and promote circulation. Intermittent use as prescribed helps maintain range of motion without overfatiguing the joint. This intervention supports functional recovery and rehabilitation.
D. Apply warm, moist packs to the surgical site: Warm packs increase blood flow and may worsen postoperative swelling or bleeding at the surgical site. Cold therapy is preferred in the immediate postoperative period to reduce inflammation, pain, and edema. Warm applications are not appropriate at this stage of recovery.
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