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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Take at different times of the day: Consistency in timing is typically recommended for hormone therapy to maintain stable hormone levels.
B. Take an extra dose if missed a day: It's not advisable to take extra doses of hormone therapy if a dose is missed without consulting a healthcare provider.
C. Prevents osteoporotic fractures: Menopausal hormone therapy, particularly estrogen therapy, can help prevent osteoporotic fractures by maintaining bone density.
D. Prevents from having a cerebral hemorrhage: While hormone therapy may have cardiovascular benefits, including a reduced risk of stroke, it is not primarily indicated for preventing cerebral hemorrhage.
Correct Answer is C
Explanation
Rationale:
A. While pelvic inflammatory disease (PID) can be associated with endometriosis, it is not a definitive indicator.
B. Abdominal bloating can occur in various conditions, but it is not specific to endometriosis.
C. Dysmenorrhea that is unresponsive to NSAIDs is a hallmark symptom of endometriosis. It often presents as severe menstrual cramps that are not relieved by over-the-counter pain
medications.
D. An atypical Papanicolaou smear does not directly relate to endometriosis; it may indicate other gynecological issues but is not specific to endometriosis.
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