A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

Drowsiness

Facial flushing

Nausea

Respiratory depression

Answer and Explanation

The Correct Answer is D

Explanation:

A. Drowsiness: Mild drowsiness is a common side effect of magnesium sulfate therapy and is not necessarily indicative of toxicity. However, severe drowsiness or lethargy can be a sign of magnesium toxicity and should be reported to the provider.

B. Facial flushing: Facial flushing is a common side effect of magnesium sulfate administration and is generally not a sign of toxicity. It is often accompanied by warmth and redness of the skin but is not considered a serious adverse reaction.

C. Nausea: Nausea is another common side effect of magnesium sulfate therapy and is usually mild and transient. It is not typically indicative of toxicity unless it is severe and persistent.

D. Respiratory depression: Respiratory depression is a critical sign of magnesium toxicity. Excessive levels of magnesium can affect neuromuscular function, leading to respiratory muscle weakness and depression. This can result in shallow or slowed breathing, decreased oxygenation, and potential respiratory failure. Respiratory depression is a serious complication that requires immediate intervention, and the nurse should report it to the provider promptly.

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Correct Answer is A

Explanation

Explanation:

A. Placenta previa: Placenta previa is a condition where the placenta partially or completely covers the cervix. Painless, bright red vaginal bleeding is a common symptom of placenta previa, especially in the third trimester. This bleeding occurs because the placental blood vessels are disrupted as the cervix begins to dilate or efface during pregnancy.

B. Abruptio placentae: Abruptio placentae is a condition where the placenta detaches from the uterine wall prematurely, leading to painful bleeding. However, the bleeding associated with abruptio placentae is typically dark red and accompanied by uterine pain or contractions. In the scenario described, the bleeding is painless, making abruptio placentae less likely.

C. Threatened abortion: Threatened abortion refers to vaginal bleeding during early pregnancy (before 20 weeks) that may or may not be accompanied by cramping or abdominal pain. It is not typically associated with painless, bright red bleeding at 36 weeks gestation.

D. Precipitous labor: Precipitous labor refers to a rapid labor and delivery process, often completing in less than three hours from onset of contractions to delivery. It is not related to painless, bright red vaginal bleeding.

A. Hypotension B. Polyuria C. Absence of bowel sounds D. Weakened gag reflex E. Hyperthermia

Correct Answer is ["A","C","D","E"]

Explanation

Explanation:

A. Hypotension: Spinal cord injuries, especially cervical injuries, can affect autonomic nervous system function, leading to neurogenic shock and hypotension. The disruption of sympathetic nervous system control over blood vessels can result in vasodilation and a drop in blood pressure.

B. Polyuria: While urinary dysfunction is a common complication of spinal cord injuries, especially with higher-level injuries, polyuria (excessive urine production) is more commonly associated with lower-level spinal cord injuries affecting the sacral segments. Cervical spinal cord injuries are more likely to lead to neurogenic bladder, urinary retention, or incontinence rather than polyuria.

C. Absence of bowel sounds: Spinal cord injuries can affect the gastrointestinal system, leading to a decrease or absence of bowel sounds due to impaired bowel motility. This can result in paralytic ileus or constipation.

D. Weakened gag reflex: Spinal cord injuries involving the cervical region can affect the pharyngeal and laryngeal nerves, leading to a weakened gag reflex. This can increase the risk of aspiration and difficulty swallowing.

E. Hyperthermia: Spinal cord injuries can disrupt thermoregulation, leading to difficulties in temperature control. Clients with cervical spinal cord injuries may be at risk of hyperthermia due to impaired sweating and heat dissipation mechanisms.

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A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

Nursing Test Bank

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Explanation

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