Nursing Diagnosis
Nursing Diagnosis ( 5 Questions)
A nurse is preparing to administer methylergonovine to a client who has postpartum hemorrhage due to retained placental fragments.
Which of the following assessments should the nurse perform before giving the medication?
Methylergonovine is a medication that stimulates uterine contractions and helps prevent or treat postpartum hemorrhage due to uterine atony or retained placental fragments. However, it can also cause an increase in blood pressure, so the nurse should monitor the client’s blood pressure before and after giving the medication.
Normal ranges for blood pressure are 120/80 mmHg or lower for systolic and diastolic pressures respectively.
Normal ranges for temperature are 36.5°C to 37.5°C or 97.7°F to 99.5°F.
Normal ranges for respiratory rate are 12 to 20 breaths per minute. Normal ranges for oxygen saturation are 95% to 100%.
Temperature is wrong because methylergonovine does not affect the client’s temperature.
Respiratory rate is wrong because methylergonovine does not affect the client’s respiratory rate.
Oxygen saturation is wrong because methylergonovine does not affect the client’s oxygen saturation.
Methylergonovine is a medication that stimulates uterine contractions and helps prevent or treat postpartum hemorrhage due to uterine atony or retained placental fragments. However, it can also cause an increase in blood pressure, so the nurse should monitor the client’s blood pressure before and after giving the medication.
Choice B. Temperature is wrong because methylergonovine does not affect the client’s temperature.
Choice C. Respiratory rate is wrong because methylergonovine does not affect the client’s respiratory rate.
Choice D. Oxygen saturation is wrong because methylergonovine does not affect the client’s oxygen saturation.
Normal ranges for blood pressure are 120/80 mmHg or lower for systolic and diastolic pressures respectively.
Normal ranges for temperature are 36.5°C to 37.5°C or 97.7°F to 99.5°F.
Normal ranges for respiratory rate are 12 to 20 breaths per minute. Normal ranges for oxygen saturation are 95% to 100%.