Author Question: The nurse on a postpartum unit is reviewing the medication administration record of a patient ... (Read 97 times)

plus1 · **on:** Jul 23, 2018

The nurse on a postpartum unit is reviewing the medication administration record of a patient receiving IV methylergonovine (Methergine). For which of the following patients would the nurse question the order?

a. Patient with diabetes
b. Patient with a urinary tract infection (UTI)
c. Patient with a migraine
d. Patient with hypertension

Question 2

An OB/GYN nurse is teaching a class on medications that affect uterine function. The nurse asks the class, For what purpose or purposes are tocolytic agents used?

Which response by a member of the class would indicate a need for further teaching? Tocolytics are used to
a. augment labor.
b. control postpartum bleeding.
c. induce abortion.
d. suppress preterm labor.

mmj22343 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Hypertension can be severe and may be associated with nausea, vomiting, and headache; convulsions and death have occurred.
Nothing indicates that diabetes or a UTI is contraindicated for use of this medication.
Migraine is not a contraindication. However, methylergonovine may cause migraine because of its vasodilative effect.

Answer to Question 2

ANS: D
Tocolytic agents are not used to suppress preterm labor; this statement indicates that further teaching is necessary.
Tocolytic agents induce labor and abortion and control postpartum bleeding; no further teaching is needed.