Author Question: The nurse had just given an intramuscular dose of methylergonovine (Methergine) to a client ... (Read 103 times)

lunatika · **on:** Jul 22, 2018

The nurse had just given an intramuscular dose of methylergonovine (Methergine) to a client following delivery of an infant. The nurse determines that this medication had the intended effect after evaluating for which of the following findings?

1. Decreased pulse rate
2. Increased urine output
3. Improved uterine tone
4. Increased blood pressure

Question 2

The nurse is providing instructions to the mother of a 3-year-old child with hemophilia regarding care of the child. Which of the following statements, if made by the mother, indicates a need for further education?

1. I need to cancel all the dental appointments that I made for my child.
2. If my child gets a cut, I should hold pressure on it until the bleeding stops.
3. I should check the house and remove any household items that can easily fall over.
4. I should move furniture with sharp corners out of the way and pad the corners of the furniture.

shaikhs · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: Methylergonovine is an ergot alkaloid that is given following delivery to treat postpartum hemorrhage. It acts by vasoconstricting arterioles and directly stimulating uterine muscle contractions. Blood pressure may increase, but this is not the intended therapeutic effect. Decreased pulse rate and increased urine output are unrelated to the effects of this medication.

Answer to Question 2

1

Rationale: The nurse needs to stress the importance of immunizations, dental hygiene, and rou-tine well-child care. If my child gets a cut, I should hold pressure on it until the bleeding stops. I should check the house and remove any household items that can easily fall over. and I should move furniture with sharp corners out of the way and pad the corners of the furniture. are appropriate care measures. The mother is instructed regarding actions in the event of blunt trauma, especially trauma involving the joints, and is told to apply prolonged pressure to superfi-cial wounds until the bleeding has stopped.