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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 A

Explanation

Choice A rationale:

Magnesium sulfate is often used to suppress preterm labor by relaxing the uterine smooth muscle.

Choice B rationale:

Methylergonovine is used to prevent or control postpartum hemorrhage and is not typically used for preterm labor.

Choice C rationale:

Calcium gluconate is used to treat magnesium sulfate toxicity and is not typically used for preterm labor.

Choice D rationale:

Dinoprostone is used to ripen the cervix for labor induction, not to suppress preterm labor.

A. "Follow a high-fiber diet until inflammation subsides." B. "Use a soapsuds enema as needed." C. "Avoid bending at the waist." D. "Restrict fluid intake to 1.5 liters per day."

Correct Answer is A

Explanation

Choice A rationale:

A high-fiber diet is not recommended during acute inflammation, as it may be too abrasive for the inflamed bowel. Diverticulitis is a condition in which small pouches in the colon become inflamed and infected. A high-fiber diet can help prevent constipation and reduce pressure in the colon, which can aggravate diverticulitis.

Choice B rationale:

Soapsuds enemas are not typically used for diverticulitis. They can cause irritation and discomfort.

Choice C rationale:

Bending at the waist has no effect on diverticulitis and is not a relevant instruction.

Choice D rationale:

Fluid restriction can lead to dehydration and constipation, which can exacerbate diverticulitis. A client with diverticulitis should drink plenty of fluids to stay hydrated and soften the stool.

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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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