How it Works
Try Naxlex NCLEX-RN (Free-Trial)

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?


A.

Headache for 30 min

B.

Fetal heart rate 158/min

C.

Respirations 16/min

D.

Urinary output 40 mL in 2 hr

Answer and Explanation

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.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

Rationale:

A. "My child will take the enzymes 2 hours before meals.": Pancreatic enzymes should be taken with meals or snacks, not before.

B. "My child will take the enzymes to improve her metabolism.": While pancreatic enzymes help with digestion, their purpose is not to improve metabolism.

C. "My child will take the enzymes to help digest the fat in foods.": This statement accurately reflects the purpose of pancreatic enzymes in cystic fibrosis. These enzymes are necessary because individuals with cystic fibrosis often have pancreatic insufficiency, leading to difficulty digesting fats and certain nutrients in food.

D. "My child will take the enzymes following meals.": Pancreatic enzymes should be taken with meals or snacks, not after.

Correct Answer is ["A","B","E"]

Explanation


A. Administering oral morphine is anticipated because it is used to manage withdrawal symptoms in newborns with Neonatal Abstinence Syndrome (NAS..
B. Swaddling is a non-pharmacological intervention that can provide comfort and reduce overstimulation.
C. Administering naloxone is not typically the first line of treatment for NAS and is used in cases of acute opioid overdose, which is not indicated by the information provided.
D. Encouraging the birthing parent to breastfeed may not be appropriate due to the presence of heroin in the system, which can be transmitted to the newborn through breast milk.
E. Continuing NAS scoring is essential to monitor the newborn's condition and response to treatment.

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

Register