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 A
Explanation
A. The client is tolerating clear liquids: Following gastric banding surgery, clients typically begin with clear liquids and gradually progress to more solid foods. Tolerating clear liquids 36 hours post-op is expected and indicates appropriate recovery.
B. The client is voiding at least 250 mL/hr: A urine output of 250 mL/hr is abnormally high and could suggest overhydration or other issues. Normal expected output is around 30–50 mL/hr postoperatively.
C. The client is maintaining bed rest: Prolonged bed rest increases the risk of complications like deep vein thrombosis. Clients are generally encouraged to ambulate early unless contraindicated.
D. The client is consuming 1000 calories daily: At 36 hours post-op, the client is not expected to consume high-calorie meals. Intake is usually limited to small amounts of clear liquids to prevent nausea and stress on the surgical site.
Correct Answer is C
Explanation
A. Exaggerated: This type of grief involves intense emotions and behaviors, such as suicidal ideation or severe depression, that impair daily functioning. The statement does not suggest overwhelming or dysfunctional grief responses.
B. Delayed: Delayed grief occurs when emotional reactions are postponed and surface later, often unexpectedly. The family member’s active emotional expression shows that the grief is not being suppressed or postponed.
C. Anticipatory: Anticipatory grief occurs when individuals begin to grieve before the actual loss, often in response to a terminal diagnosis. The family member’s difficulty in “letting go” suggests they are grieving in advance of the client’s death.
D. Disenfranchised: Disenfranchised grief arises when a person’s mourning is not acknowledged or supported by society. There is no indication in this case that the family member’s grief is being dismissed or invalidated.
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