A nurse is collecting data from a client who is 4 hr postpartum. For which of the following findings should the nurse administer carboprost IM?

Increasing systolic blood pressure

Breast engorgement

Pooling of blood beneath the buttocks

Bladder distention

Answer and Explanation

The Correct Answer is C

A.   Increasing systolic blood pressure: Carboprost is not indicated for increasing systolic blood pressure. If a client's blood pressure is elevated, it may require monitoring and, if necessary, treatment with antihypertensive medication.
B.   Breast engorgement: Carboprost is not used to address breast engorgement. Breast engorgement is typically managed with measures like warm compresses, breastfeeding, and potentially pain relievers or other interventions.
C.   Pooling of blood beneath the buttocks: This is a concerning sign of potential postpartum hemorrhage. Carboprost is indicated in situations where there is excessive bleeding or inadequate uterine contractions to help control bleeding and prevent further complications.
D.   Bladder distention: Carboprost is not used to address bladder distention. Bladder distention may require measures such as catheterization to empty the bladder and alleviate discomfort.

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Correct Answer is C

Explanation

A. Tachypnea (rapid breathing) is not typically an adverse effect of epidural anesthesia.
B. Hypertension (high blood pressure) is not typically an adverse effect of epidural anesthesia.
C. Tachycardia (rapid heart rate) can be an adverse effect of epidural anesthesia, potentially due to a decrease in blood pressure leading to a compensatory increase in heart rate.
D. Fever is not a common adverse effect of epidural anesthesia.

A. Hyporeflexia B. Tachypnea C. Polyuria D. Agitation

Correct Answer is A

Explanation

A. Hyporeflexia is a significant adverse effect of magnesium sulfate therapy and can indicate magnesium toxicity. It is essential for the nurse to monitor deep tendon reflexes as part of the assessment when a client is receiving this medication. A decrease in reflexes may warrant immediate intervention and reporting to the provider.
B. Tachypnea is not a common adverse effect of magnesium sulfate; however, if it occurs, it may indicate respiratory distress, which should be assessed further.
C. Polyuria is not a typical adverse effect of magnesium sulfate. In fact, magnesium can lead to decreased urine output in some cases, especially with toxicity.
D. Agitation is also not a typical adverse effect of magnesium sulfate. Clients receiving magnesium sulfate may exhibit sedation rather than agitation.

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A nurse is collecting data from a client who is 4 hr postpartum. For which of the following findings should the nurse administer carboprost IM?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?

Correct Answer is C

Explanation

A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?

Correct Answer is A

Explanation

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