When a nurse is assessing a client who received carboprost for postpartum hemorrhage, which adverse effect should be most closely monitored?

• A. Hearing loss
• B. Bradycardia
• C. Bronchospasm
• D. Hypoglycemia

Answer: (C)

Verified step by step guidance

1. Understand the purpose of carboprost: Carboprost is a synthetic prostaglandin used to manage postpartum hemorrhage by inducing uterine contractions. It is important to know its mechanism of action and potential side effects.
2. Identify the adverse effects associated with carboprost: Common side effects include nausea, vomiting, diarrhea, fever, and bronchospasm. Bronchospasm is particularly significant as it can affect respiratory function.
3. Recognize the physiological basis of bronchospasm: Bronchospasm occurs due to the constriction of the smooth muscles in the airways, leading to difficulty in breathing. This is a critical adverse effect that requires close monitoring.
4. Assess the client for respiratory symptoms: The nurse should monitor for signs such as wheezing, shortness of breath, or difficulty breathing, which are indicative of bronchospasm.
5. Prioritize interventions: If bronchospasm is observed, the nurse should immediately notify the healthcare provider, administer prescribed bronchodilators if available, and ensure the client’s airway is clear while providing oxygen support if necessary.