A nurse is caring for a client who is postpartum and has a new prescription for
methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When

reviewing the client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine?

A. Inform the client of available community resources is an important action because the client will likely need additional support, such as hospice care, counseling, or child care services. However, before providing resources, the nurse must assess the client’s understanding of their diagnosis to ensure any interventions are tailored to their current needs and readiness.

B. Assist the client in finding child care options - While important, addressing community resources takes precedence as it may encompass finding child care options as well.

C. Agree upon short-term goals for the client - Establishing goals is important but may come after addressing immediate needs.

D. Ask the client about their understanding of the diagnosis is the priority action. Before any other interventions, the nurse must assess the client’s knowledge and perception of their condition. This foundational step allows the nurse to provide appropriate education, clarify any misconceptions, and ensure that all care planning aligns with the client’s needs, values, and readiness to engage in discussions about their care.

A.

A. Educating the client on covering the nose and mouth with tissues when coughing helps prevent the spread of tuberculosis by containing respiratory secretions.

B. A client with active tuberculosis should not return to work until they have completed a sufficient duration of treatment and are deemed non-infectious, not solely based on negative sputum cultures.

C. The client remains contagious until they have been on appropriate medication therapy for a sufficient duration and are deemed non-infectious by healthcare providers, usually after several weeks of treatment rather than just one week.

D. While wearing protective masks may be recommended for healthcare workers or individuals with compromised immune systems, it's not necessary for the client's family members unless they are in close contact with the client for an extended period.