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","E"]
Explanation
A. Medicare Part A: Medicare Part A primarily covers hospital inpatient services and is generally for adults aged 65 and older or those with certain disabilities. It is not typically the primary resource for a young adult below the poverty level needing home IV therapy.
B. Adult day care: Adult day care services are designed for older adults or individuals with disabilities who need daytime supervision or assistance, so this resource is not applicable for a young adult requiring home IV therapy.
C. Respite care: Respite care provides temporary relief for caregivers, which can be helpful but is not a direct resource for financial assistance or home care needs related to IV therapy for a young adult.
D. Food stamps: Food stamps, now known as the Supplemental Nutrition Assistance Program (SNAP), provide nutritional support for individuals and families with low income and can help address food insecurity during recovery.
E. Medicaid: Medicaid is a state and federally funded program that offers health coverage, including home health services and medical supplies, for individuals with low income, making it a critical resource for managing home IV therapy.
Correct Answer is C
Explanation
A. Email the client's health information to the facility in an unencrypted file: Sending unencrypted files by email is a breach of confidentiality and violates HIPAA regulations. Protected health information must be securely transmitted.
B. Discuss the client's response to the transfer with another staff nurse: Unless the staff nurse is directly involved in the client’s care, this discussion would be inappropriate and a violation of the client’s privacy.
C. Provide a verbal report of the client’s condition to the paramedic performing the transfer: Sharing necessary health information with personnel directly involved in the client’s care and transport is appropriate and ensures continuity of care without violating confidentiality.
D. Fax the client's name and identifiable information to the rehabilitation facility: Faxing may be permitted if secured, but the question implies sending identifiable information without confirming secure transmission. This could risk unauthorized disclosure.
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