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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Alopecia is not a common adverse effect of atorvastatin.
B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.
C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.
D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.
E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.
Correct Answer is A
Explanation
A. Ginkgo biloba can increase the risk of bleeding when taken with warfarin, as it has anticoagulant effects.
B. Coenzyme Q10 has a mild anticoagulant effect but does not have a significant contraindication with warfarin.
C. Valerian is generally safe with warfarin, although it may have sedative effects.
D. Probiotics do not interact with warfarin and are safe to use concurrently.
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