Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment?

1. Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment? 1. Uterine tone 2. Blood pressure 3. Amount of lochia 4. Deep tendon reflexes Explanation ----- 2. Blood pressure Rationale: methylergobovine, and I go alkaloid comma is used to prevent or control postpartum hemorrhage by contracting the uterus. Methylergonovine causes continuous uterine contraction and may elevate the blood pressure. A priority assessment before the administration of the medication is to check the blood pressure. The healthcare provider needs to be notified if hypertension is present. Although option one, three, and four may be components of postpartum assessment, blood pressure is related specifically to the administration of this medication. 2. The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory distress syndrome. The nurse prepares to administer the medication by which route? 1. Intradermal 2. Intratracheal 3. Subcutaneous 4. Intramuscular Explanation – 2. Intratracheal Respiratory distress syndrome is a serious lung disorder caused by immaturity and the inability to produce surfactant, resulting in hypoxia an acidosis. It is common in premature infants and may be due to lung immaturity as a result of surfactant deficiency. The mainstay of treatment is the administration of exogenous surfactant, which is administered by the intratrcheal route. Option 1,3, and 4 are not route of administration for this medication 3. An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily accessible should respiratory depression occur? 1. Naloxone 2. Morphine sulfate 3. Betamethasone 4. Hydromorphone hydrochloride Explanation --- 1. Naloxone Opioid analgesics may be prescribed to relieve moderate to severe pain associated with labor. Opioid toxicity can occur and cause respiratory depression. Naloxone is an opioid antagonis, which reverse the effects of opioids and is given for respiratory depression. Morphine sulfate and hydromorphome hydrochloride are opioid analgesics. Betamethasone is a corticosteroid adiministered to enhance fetal lung maturity.