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A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication?

WBC count 12.000/mm3

History of asthma

Hgb 11.2 g/dL.

Blood pressure 154/98 mm Hg

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.

Choice B rationale:

Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.

Choice C rationale:

Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.

Choice D rationale:

Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.

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Correct Answer is B

Explanation

Choice A rationale:

Waiting until school age to engage in social activities is not appropriate, as social interaction is important for a toddler's development.

Choice B rationale:

Interacting with the child according to their developmental age is important for fostering appropriate growth and development.

Choice C rationale:

Devoting more time to learning than playing may not be appropriate, as play is an essential component of early childhood development.

Choice D rationale:

Teaching several steps of a task at one time may be overwhelming for a toddler with a cognitive delay. Instructions should be simple and broken down into manageable steps.

A. "You will need to have your blood drawn every 2 weeks." B. "You will self-administer one dose intramuscularly each day." C. "This medication is safe to take if you become pregnant. D. "You should limit your daily fluid intake to 1 and a half liters."

Correct Answer is A

No explanation

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A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a prescription for methylergonovine. Which of the following findings should the nurse identify as a contraindication to the administration of this medication?

Nursing Test Bank

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