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 A
Explanation
A. Wheat bread: Wheat bread is relatively low in potassium compared with fruits, vegetables, and juices. It is generally appropriate for clients who require potassium restriction due to renal disease or certain electrolyte imbalances.
B. Orange juice: Orange juice is high in potassium and can significantly increase serum potassium levels. It is commonly restricted in clients who must limit potassium intake to prevent hyperkalemia.
C. Sweet potato: Sweet potatoes contain a high amount of potassium, especially when baked or mashed. They are typically avoided in low-potassium diets because they can rapidly elevate potassium levels.
D. Canned green beans: Although canned vegetables have less potassium than fresh ones due to processing, green beans still contain more potassium than wheat bread. They are not the lowest potassium option.
Correct Answer is C
Explanation
A. Copy of the client's advance directives: Advance directives are part of the client’s legal and medical record but are not included in postmortem documentation. Postmortem charting focuses on care provided after death and body identification rather than prior treatment preferences.
B. Cause of the client's death: Determining and documenting the cause of death is the responsibility of the provider, not the nurse. The nurse may document the time death was pronounced and by whom, but listing the cause exceeds the nursing scope of documentation.
C. Location of the identification tag on the client's body: Proper identification is a critical component of postmortem care to ensure correct body handling and prevent errors. Documenting the placement of identification tags supports legal requirements and continuity of care through the morgue and funeral services.
D. Last set of the client's vital signs: Vital signs are not obtained or documented after death has occurred. Postmortem documentation focuses on confirmation of death, care of the body, and disposition rather than physiological measurements.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
