A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.The nurse should monitor the client for which of the following findings as an indication of magnesium sulfate toxicity?
Nausea.
Facial flushing.
Urine output 40 mL/hr.
Respiratory rate 10/min.
The Correct Answer is D
Choice A rationale
Nausea can be a side effect of magnesium sulfate, but it is not a specific indication of toxicity. Other symptoms are more directly indicative of magnesium sulfate overdose.
Choice B rationale
Facial flushing is a common side effect of magnesium sulfate but is not a sign of toxicity. It typically occurs at therapeutic levels and is not a reliable indicator of overdose.
Choice C rationale
Urine output of 40 mL/hr is within normal limits for an adult and does not indicate magnesium sulfate toxicity. However, significantly decreased urine output could be concerning.
Choice D rationale
Respiratory rate of 10/min is a critical sign of magnesium sulfate toxicity. Magnesium sulfate can cause respiratory depression, and a rate of 10 breaths per minute or less indicates that the patient may be experiencing toxic effects, necessitating immediate medical intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E,A,C,D,B
Explanation
- Wrap a warm, moist cloth around the heel.
- Cleanse the heel with an antiseptic.
- Puncture the heel and collect the blood.
- Apply pressure with a dry gauze pad.
- Cover the heel with an adhesive bandage. .
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The nurse should prepare to reinforce teaching with the client about a diabetic diet with a prescription of insulin therapy.
So, correct options are:
- A. diabetic diet
- A. insulin therapy
- Diabetic diet:
- The client has a history of gestational diabetes mellitus (GDM) during her previous pregnancy and is currently experiencing elevated blood glucose levels, as indicated by the oral glucose tolerance test and fasting glucose levels.
- A diabetic diet is essential to help manage blood glucose levels and prevent complications for both the mother and the baby.
- Insulin therapy:
- The client is already adhering to a diabetic diet and is taking insulin as prescribed, indicating that insulin therapy is part of her current management plan.
- Her glucose levels are still elevated despite dietary management, which means insulin therapy is necessary to maintain optimal glucose levels and reduce the risk of complications associated with GDM.
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