Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assisting in the care of a client who is experiencing a postpartum hemorrhage.
Which of the following medications should the nurse plan to administer?
A. Terbutaline
Is a medication used for the management of preterm labor by relaxing the uterine smooth muscles. It is not indicated for postpartum hemorrhage.
B. Methylergonovine
Postpartum hemorrhage is a significant complication that can occur after childbirth. Methylergonovine is a medication commonly used to manage postpartum hemorrhage. It is an ergot alkaloid that helps to contract the uterus, reducing bleeding. It is typically administered either intramuscularly or orally. It's important to note that the specific management of postpartum hemorrhage may vary depending on the underlying cause, severity of bleeding, and individual patient factors. The healthcare provider will determine the most appropriate interventions and medications for each case.
C. Magnesium sulfate
Is a medication used for the prevention and treatment of seizures in patients with preeclampsia or eclampsia. It is not specifically indicated for postpartum hemorrhage.
D. Nifedipine
Is a calcium channel blocker commonly used to manage hypertension. It is not indicated for postpartum hemorrhage.
This question is an excerpt from Nurse Dive's nursing test bank - VATI PN Comprehensive Predictor 2020 Proctored Exam. Take the full exam now
Full Explanation
b. Methylergonovine.
Explanation:
Postpartum hemorrhage is a significant complication that can occur after childbirth. Methylergonovine is a medication commonly used to manage postpartum hemorrhage. It is an ergot alkaloid that helps to contract the uterus, reducing bleeding. It is typically administered either intramuscularly or orally.
Option a, Terbutaline, is a medication used for the management of preterm labor by relaxing the uterine smooth muscles. It is not indicated for postpartum hemorrhage.
Option c, Magnesium sulfate, is a medication used for the prevention and treatment of seizures in patients with preeclampsia or eclampsia. It is not specifically indicated for postpartum hemorrhage.
Option d, Nifedipine, is a calcium channel blocker commonly used to manage hypertension. It is not indicated for postpartum hemorrhage.
It's important to note that the specific management of postpartum hemorrhage may vary depending on the underlying cause, severity of bleeding, and individual patient factors. The healthcare provider will determine the most appropriate interventions and medications for each case.
Similar Questions
A nurse on a maternal newborn unit is assisting with the preparation of an in-service presentation about infection control. Which of the following information should the nurse recommend to include?
A. Infant bassinets should be positioned 24 in (2 feet) apart
B. Staff should avoid using alcohol-based hand rubs to perform hand hygiene
C. Visitors who have an upper respiratory infection should wear a mask
The nurse should recommend including the information that visitors who have an upper respiratory infection should wear a mask. This is an important infection control measure to prevent the spread of respiratory infections to vulnerable newborns and their mothers. Positioning infant bassinets 24 inches (2 feet) apart (option a) may be a recommendation for spacing, but it is not directly related to infection control. Staff should actually be encouraged to use alcohol-based hand rubs for hand hygiene as they are effective in killing germs (option b). Pumped breastmilk can be left at room temperature for 4 hours, not 6 hours, so this information is inaccurate (option d).
D. Pumped breastmilk can be left at room temperature for 6 hr
A nurse is reviewing the laboratory results for a client who is at 32 weeks of gestation.
For which of the following results should the nurse notify the provider?
A. Hgb 12 g/dL
Falls within the normal range for hemoglobin during pregnancy, which is typically between 11-13.5 g/dL. Therefore, it does not require immediate notification to the provider.
B. Platelet count 90,000/mm3
During pregnancy, it is important to monitor the client's platelet count because a low platelet count can indicate a condition called gestational thrombocytopenia or other potential complications such as preeclampsia or HELLP syndrome. A platelet count of 90,000/mm3 is lower than the normal range and should be reported to the provider for further evaluation and management.
C. Hematocrit 37%
Falls within the normal range for hematocrit during pregnancy, which is typically between 33-42%. Therefore, it does not require immediate notification to the provider.
D. Creatinine 0.7 mg/dL
Is within the normal range for creatinine levels and does not indicate any immediate concerns or need for notification to the provider.
Full Explanation
b. Platelet count 90,000/mm3.
Explanation:
During pregnancy, it is important to monitor the client's platelet count because a low platelet count can indicate a condition called gestational thrombocytopenia or other potential complications such as preeclampsia or HELLP syndrome. A platelet count of 90,000/mm3 is lower than the normal range and should be reported to the provider for further evaluation and management.
Option a, Hgb 12 g/dL, falls within the normal range for hemoglobin during pregnancy, which is typically between 11-13.5 g/dL. Therefore, it does not require immediate notification to the provider.
Option c, Hematocrit 37%, also falls within the normal range for hematocrit during pregnancy, which is typically between 33-42%. Therefore, it does not require immediate notification to the provider.
Option d, Creatinine 0.7 mg/dL, is within the normal range for creatinine levels and does not indicate any immediate concerns or need for notification to the provider.
It is important to remember that the interpretation of laboratory results should be done in the context of the client's individual clinical presentation and the healthcare provider's assessment. Any concerns or abnormal findings should be communicated to the provider for further evaluation and appropriate management.
A nurse is reinforcing teaching with a client who is about to undergo an upper gastrointestinal series with fluoroscopy. Which of the following information should the nurse provide?
A. You will receive an injection of contrast dye during the test
B. Consume a clear liquid breakfast on the day of the procedure
C. Someone should drive you home after the procedure
D. You will have to drink a contrast medium before the test
The nurse should inform the client that they will have to drink a contrast medium before the upper gastrointestinal series with fluoroscopy. This contrast medium helps visualize the gastrointestinal tract during the procedure. Option a is incorrect because the contrast dye is typically administered orally, not through injection. Option b is incorrect because the client is usually required to have a restricted diet, such as fasting or consuming only clear liquids, prior to the procedure. Option c is incorrect because the client can typically drive themselves home after the procedure as it does not involve sedation or anesthesia