A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Which of the following findings should the nurse report to the provider?
Headache for 30 min
Fetal heart rate 158/min
Respirations 16/min
Urinary output 40 mL in 2 hr
The Correct Answer is D
Rationale:
A. Headache can be a common side effect of magnesium sulfate but is usually not concerning unless severe or persistent.
B. A fetal heart rate of 158/min is within the normal range for a fetus and is not typically associated with magnesium sulfate administration.
C. Respirations of 16/min are within the normal range and are not typically associated with magnesium sulfate administration.
D. A urinary output of 40 mL in 2 hours is significantly reduced and may indicate magnesium toxicity or impaired renal function, which should be reported to the provider for further
evaluation and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
A. Abundant lanugo is incorrect because postmature newborns typically lose their lanugo before birth.
B. Vernix in the folds and creases is incorrect as vernix caseosa, the white, cheese-like substance covering the skin of the fetus, is often absent in postmature newborns due to it being absorbed as the gestation period extends beyond the normal term.
C. Short, soft fingernails are not expected in postmature newborns; instead, they may have long, overgrown nails.
D. Cracked, peeling skin is a common finding in postmature newborns due to prolonged exposure to amniotic fluid and a decrease in the protective vernix caseos
A.
E. A positive Moro reflex is a normal finding in newborns, including those who are postmature, indicating a healthy neurological response.
Correct Answer is B
Explanation
Rationale:
A. Using a pacifier during naps and bedtime is recommended as it has been associated with a decreased risk of SIDS.
B. Bed-sharing, especially with a breastfeeding mother, is a risk factor for SIDS. The American Academy of Pediatrics recommends room-sharing without bed-sharing.
C. Placing the baby on her back for sleep is a safe sleep practice and helps reduce the risk of SIDS.
D. Removing blankets and toys from the crib reduces the risk of suffocation and is a recommended safe sleep practice.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.