A nurse is caring for a client who has preeclampsia and is experiencing a postpartum hemorrhage. The nurse should expect the provider to prescribe which of the following medications?
Carboprost
Methylergonovine
Oxytocin
Nifedipine
The Correct Answer is C
A. Carboprost: Carboprost is a prostaglandin used to treat postpartum hemorrhage, but it is contraindicated in clients with asthma or certain cardiovascular conditions. While effective, it may not be the first-line choice for a client with preeclampsia.
B. Methylergonovine: Methylergonovine is an ergot alkaloid used to treat postpartum hemorrhage, but it is contraindicated in clients with hypertension or preeclampsia because it can cause severe vasoconstriction and elevate blood pressure.
C. Oxytocin: Oxytocin is the first-line uterotonic for managing postpartum hemorrhage. It promotes uterine contractions, helping to reduce bleeding, and is safe to use in clients with preeclampsia, making it the most appropriate initial medication.
D. Nifedipine: Nifedipine is a calcium channel blocker used to manage hypertension or preterm labor, not for treating postpartum hemorrhage. It does not promote uterine contraction or control bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Irritability: While clients with obsessive-compulsive personality disorder (OCPD) may experience frustration when routines are disrupted, irritability alone is nonspecific and not a defining characteristic of the disorder.
B. Shows perfectionism: Perfectionism is a hallmark feature of OCPD. Clients often exhibit rigid adherence to rules, high standards, and meticulous attention to detail, which can impair flexibility, efficiency, and interpersonal relationships.
C. Impulsivity: Impulsivity is more characteristic of disorders such as borderline personality disorder or ADHD. Clients with OCPD are typically controlled, deliberate, and resistant to spontaneous changes.
D. Takes advantage of others: Exploitative behavior is associated with antisocial personality disorder, not OCPD. Individuals with OCPD tend to be conscientious, rule-bound, and focused on personal standards rather than manipulating others for personal gain.
Correct Answer is D
Explanation
A. Wrap the newborn loosely in a blanket: Infants with neonatal abstinence syndrome (NAS) benefit from being swaddled snugly, not loosely. Tight swaddling helps reduce hyperactivity, self-stimulating movements, and agitation associated with withdrawal.
B. Encourage frequent eye contact with the newborn during feedings: Excessive eye contact can overstimulate an infant with NAS, increasing irritability and stress. Minimizing visual stimulation during feedings helps promote calm and successful feeding.
C. Provide frequent stimulation for the newborn: Newborns with NAS are highly sensitive to environmental stimuli. Providing frequent stimulation can exacerbate symptoms such as tremors, irritability, and high-pitched crying.
D. Decrease the lighting levels in the nursery: Reducing environmental stimuli, including dimming lights and minimizing noise, helps calm infants experiencing NAS. A low-stimulation environment is a key nonpharmacologic intervention to reduce withdrawal symptoms and support neurodevelopment.
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