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?
Methylergonovine
Carboprost
Nifedipine
Oxytocin
The Correct Answer is D
A. Methylergonovine: While effective for postpartum hemorrhage, it causes vasoconstriction and can raise blood pressure significantly. It is contraindicated in clients with preeclampsia or hypertension due to the risk of stroke or hypertensive crisis.
B. Carboprost: Carboprost is used to treat postpartum hemorrhage, but it may increase blood pressure and is used cautiously in clients with preeclampsia. It is not typically the first-line treatment in hypertensive patients.
C. Nifedipine: Nifedipine is a calcium channel blocker used for managing hypertension and preterm labor, not for controlling postpartum bleeding. It does not cause uterine contraction and is not effective for hemorrhage.
D. Oxytocin: Oxytocin stimulates uterine contractions and is the first-line medication for managing postpartum hemorrhage. It does not raise blood pressure, making it safe and effective for clients with preeclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Irritability: While clients with obsessive-compulsive personality disorder (OCPD) may become frustrated when things are not done their way, persistent irritability is more characteristic of mood or anxiety disorders rather than a core feature of OCPD.
B. Impulsivity: Impulsivity is typically associated with borderline or antisocial personality disorders. Clients with OCPD are generally rigid, controlled, and rule-bound rather than impulsive.
C. Takes advantage of others: This behavior is more aligned with antisocial personality disorder. Clients with OCPD are often rule-abiding and conscientious, though they may be excessively controlling or critical.
D. Shows perfectionism: Perfectionism is a hallmark of obsessive-compulsive personality disorder. Clients often set excessively high standards for themselves and others, are preoccupied with orderliness, and may have difficulty delegating tasks.
Correct Answer is C
Explanation
A. "Why do you think your partner's symptoms are progressing so quickly?” This question can feel blaming and may cause the partner to become defensive, which is not therapeutic. This response shifts the burden of explanation to the partner and doesn't directly address their expressed feeling of being overwhelmed.
B. “You did the right thing by bringing your partner in for treatment.” While supportive, this statement shuts down further discussion and does not encourage the partner to express feelings or concerns.
C. “Can you talk about what was happening with your partner at home.” This open-ended question encourages the partner to share feelings and experiences, fostering communication and therapeutic rapport.
D. “You should make sure your partner takes the prescribed medication.” This response is prescriptive and shifts immediately to an action plan without first acknowledging or exploring the partner's current emotional state and the overwhelming situation they are describing. .
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