A nurse working on the postpartum floor is checking orders and notes the following, "Methergine (methylergonovine) 200 mcg po q 6 hr for 48 hr." Which of the following nursing interventions should be added to the patient's plan of care?
A) Assess respiratory rate and rhythm q 2 hr.
B) Monitor for signs of uterine atony or change in menstrual bleeding.
C) Instruct patient to wear a tight-fitting bra and avoid facing the water during shower.
D) Collect urine for protein dipstick every 4 hr.

Question

Quizplus · Accepted Answer

Methergine is a uterine stimulant used to prevent or treat postpartum hemorrhage due to uterine atony. Therefore, the nurse should monitor for signs of uterine atony or change in menstrual bleeding, which are potential adverse effects of the medication. Assessing respiratory rate and rhythm, instructing the patient to wear a tight-fitting bra and avoid facing the water during shower, or collecting urine for protein dipstick are not relevant to the administration of Methergine.

A Nurse Working on the Postpartum Floor Is Checking Orders