The nurse on a postpartum unit is reviewing the medication administration record of a patient receiving IV methylergonovine (Methergine). For which of the following patients would the nurse question the order?
a. Patient with diabetes
b. Patient with a urinary tract infection (UTI)
c. Patient with a migraine
d. Patient with hypertension
ANS: D
Hypertension can be severe and may be associated with nausea, vomiting, and headache; convulsions and death have occurred.
Nothing indicates that diabetes or a UTI is contraindicated for use of this medication.
Migraine is not a contraindication. However, methylergonovine may cause migraine because of its vasodilative effect.
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