A postpartum client with uterine atony has chronic hypertension and asthma. For each medication order, identify the condition-specific follow-up indicated by the prescribing information. One column applies to each row.
Matrix
Choose your responses, then check the answer.
Explanation
Methylergonovine is contraindicated in hypertension. Carboprost should be used cautiously in clients with a history of asthma. Neither of those two condition-specific warnings is the reason to question the oxytocin order.
Quick answer Link methylergonovine to hypertension, carboprost to asthma, and oxytocin to neither of those specific warnings.
Why this is correct The methylergonovine label lists hypertension as a contraindication. The carboprost label advises caution with asthma. The oxytocin label does not list either chronic hypertension or asthma as the specific contraindication represented in this matrix; full order and client monitoring still apply.
Easy analogy or mental picture Use two red flags on the medication shelf: one flag says blood pressure for methylergonovine, and the other says airways for carboprost.
NCLEX decision rule Match the client's comorbidity to the drug's labeled contraindication or precaution before administration. Selecting no listed condition-specific concern does not mean no monitoring is needed.
Why the other choices are wrong Hypertension is not the selected condition-specific warning for carboprost in this item, and asthma is not the listed methylergonovine contraindication. Oxytocin still requires appropriate indication, route, dose, and monitoring.
2DailyMed: Carboprost TromethamineCaution with a history of asthma
3DailyMed: Oxytocin InjectionLabeled contraindications and monitored administration
Postpartum order checkCompare each uterotonic order with blood pressure history, respiratory history, route, and the current hemorrhage protocol before administration.