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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 C

Explanation

Choice A rationale:

Survivors of sexual assault can exhibit a wide range of psychological symptoms, and their experiences may vary significantly. There is no universal pattern of symptoms that applies to all survivors.

Choice B rationale:

Psychotherapy, such as trauma-focused cognitive-behavioral therapy, has been shown to be effective in helping survivors of sexual assault cope with and heal from their experiences.

Choice C rationale:

Rationale:

It is important to emphasize that sexual assault survivors often know the perpetrator, as this information dispels the myth that most assaults are committed by strangers.

Education should provide accurate and evidence-based information to address misconceptions.

Choice D rationale:

Survivors of sexual assault come from diverse backgrounds and living situations, and their marital status or residence in metropolitan areas is not universally applicable.

A. Care is intended to prolong the client's life. B. Care is initiated when the client has less than 6 months of life expectancy. C. Care is extended to the client and the client's family. D. Care is limited to traditional medical treatments.

Correct Answer is C

Explanation

Choice A rationale:

Palliative care is not necessarily focused on prolonging the client's life, but rather on improving the quality of life and managing symptoms.

Choice B rationale:

Palliative care is not limited to individuals with a specific life expectancy, such as less than 6 months. It can be provided at any stage of a serious illness.

Choice C rationale:

Palliative care aims to address the physical, emotional, and psychosocial needs of both the client and their family.

Choice D rationale:

Palliative care involves a holistic approach that includes traditional medical treatments along with psychosocial and emotional support.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

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