Nokea
A new mother was administered methylergonovine maleate intramuscularly after delivery. The nurse understands that this medication was administered for which action?
- A. Decrease uterine contractions.
- B. Prevent postpartum hemorrhage.
- C. Maintain a normal blood pressure.
- D. Reduce the amount of lochia drainage.
Correct Answer: B
Rationale: Methylergonovine maleate, an oxytocic, is an agent used to prevent or control postpartum hemorrhage by contracting the uterus. The first dose is usually administered intramuscularly, and then if it needs to be continued, it is given by mouth. It increases the strength and frequency of contractions and may elevate blood pressure. There is no relationship between the action of this medication and lochia drainage.
You may also like to solve these questions
Which of the following statements indicates that the client with a peptic ulcer understands the dietary modifications he needs to follow at home?
- A. I should eat a bland, soft diet.'
- B. It is important to eat six small meals a day.'
- C. I should drink several glasses of milk a day.'
- D. I should avoid alcohol and caffeine.'
Correct Answer: D
Rationale: Avoiding alcohol and caffeine is critical for peptic ulcer management, as these substances can exacerbate ulcer symptoms and delay healing.
A client with pneumonia is receiving oxygen at 2 L/min via nasal cannula. The nurse notes a respiratory rate of 30 breaths/min and oxygen saturation of 88%. What should the nurse do first?
- A. Increase the oxygen to 4 L/min
- B. Notify the physician
- C. Encourage deep breathing exercises
- D. Reposition the client to semi-Fowler's
Correct Answer: B
Rationale: An oxygen saturation of 88% and tachypnea indicate worsening hypoxia, requiring immediate physician notification for further orders. Increasing oxygen or repositioning may help but requires a prescription.
The nurse is teaching a client with a new diagnosis of epilepsy about safety precautions. Which of the following instructions is most important?
- A. Avoid swimming alone.
- B. Take medications at bedtime only.
- C. Use a soft toothbrush.
- D. Limit fluid intake.
Correct Answer: A
Rationale: Avoiding swimming alone is critical for safety in epilepsy to prevent drowning during a seizure.
A client with a diagnosis of gout is prescribed febuxostat (Uloric). The nurse should instruct the client to:
- A. Take the medication with food to reduce stomach upset.
- B. Avoid drinking alcohol.
- C. Limit fluid intake.
- D. Take the medication at bedtime only.
Correct Answer: A,B
Rationale: Taking febuxostat with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.
The nurse administering a dose of scopolamine to a preoperative client should monitor the client for which common side effect of the medication?
- A. Dry mouth
- B. Diaphoresis
- C. Excessive urination
- D. Pupillary constriction
Correct Answer: A
Rationale: Scopolamine is an anticholinergic medication that causes the frequent side effects of dry mouth, urinary retention, decreased sweating, and dilation of the pupils. Each of the incorrect options is the opposite of a side effect of this medication.