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 C
Explanation
Rationale:
A. Ibuprofen is not recommended for infants younger than six months without specific physician orders due to potential adverse effects.
B. Positioning the infant on her abdomen may not be suitable immediately postoperatively and should be guided by the surgical team's recommendations.
C. Offering a pacifier can provide non-nutritive sucking comfort, which can help soothe the infant and decrease pain perception.
D. While rocking the infant can be comforting, it may not address the immediate postoperative needs of the infant or provide sufficient pain relief.
Correct Answer is B
Explanation
Rationale:
A. This response doesn't address the client's feelings of fear and reluctance to talk to their parents.
B. This response acknowledges the client's emotions and opens up the conversation for further exploration.
C. While this statement is true, it doesn't address the client's emotional state or concerns.
D. This option dismisses the client's feelings and doesn't offer support or guidance.
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.