ATI RN
VATI ATI Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postpartum and has a new prescription for methylergonovine for vaginal bleeding refractory to fundal massage and oxytocin. When reviewing the client's medical history, the nurse should recognize which of the following diagnoses as a contraindication to the administration of methylergonovine?
Correct Answer: C
Rationale: The correct answer is C: Migraine headaches. Methylergonovine is a medication that can potentially exacerbate or trigger migraine headaches due to its vasoconstrictive effects. Migraine headaches are often associated with vasospasm of cerebral blood vessels, and methylergonovine, by further constricting blood vessels, can worsen this condition and lead to severe headaches or other complications.
Therefore, it is contraindicated in clients with a history of migraine headaches.
Diabetes mellitus (choice
A), hypertension (choice
B), and hepatitis B (choice
D) are not contraindications for methylergonovine administration. While caution may be needed in clients with hypertension due to its vasoconstrictive effects, it is not an absolute contraindication. Diabetes mellitus and hepatitis B do not have direct contraindications with methylergonovine use.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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