A nurse is assessing a client who is receiving IV magnesium sulfate for treatment of preeclampsia. Which of the following findings should the nurse report?

24 hr urine output 960 mL

Blood pressure 122/88 mm Hg

1+ deep tendon reflexes

Pupils equal, round, react to light, accommodation

Answer and Explanation

The Correct Answer is C

A. Output above 30 mL/hr is acceptable and not concerning.

B. A BP of 122/88 is within normal limits.

C. A decrease in deep tendon reflexes (DTRs), such as 1+, can indicate magnesium toxicity and requires immediate intervention.

D. Normal pupillary findings do not indicate toxicity.

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Correct Answer is A

Explanation

A. Calcium carbonate should be avoided with tetracycline as it can bind to the antibiotic and decrease its absorption, reducing its effectiveness.

B. Vitamin C does not interact with tetracycline and does not require avoidance.

C. Folic acid does not interfere with tetracycline and can be taken.

D. Fish oil does not affect the absorption or effectiveness of tetracycline.

A. Medication reconciliation report B. Plan of care C. Root cause analysis form D. Occurrence report

Correct Answer is D

Explanation

A. Medication reconciliation is a process for reviewing medications but not used for documenting an error or adverse event.

B. The plan of care includes the overall care strategy for the client but is not for documenting medication errors.

C. Root cause analysis is conducted after a serious error, typically in a more formal investigation.

D. Occurrence reports are used to document any medication errors or adverse events in the healthcare setting for follow-up and risk management.

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A nurse is assessing a client who is receiving IV magnesium sulfate for treatment of preeclampsia. Which of the following findings should the nurse report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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