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?
"Respiratory rate 10/min"
"Urine output 40 mL/hr"
"Nausea"
"Facial flushing"
The Correct Answer is A
A. A respiratory rate of 10/min indicates magnesium sulfate toxicity, which can cause respiratory depression. Close monitoring of respiratory rate is essential to identify and manage potential toxicity.
B. Urine output of 40 mL/hr is not an immediate sign of toxicity but requires monitoring. Decreased urine output can be a sign of complications, but it is not the primary indicator of magnesium sulfate toxicity.
C. Nausea is a common side effect of magnesium sulfate but not necessarily indicative of toxicity. More severe symptoms like respiratory depression are critical for diagnosing toxicity.
D. Facial flushing is a common, mild side effect of magnesium sulfate and not a sign of toxicity. Monitoring for more severe symptoms is essential to assess for toxicity.
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Related Questions
Correct Answer is A
Explanation
A. Recurrent urinary tract infections are a contraindication for using a diaphragm because the presence of a foreign object in the vagina can increase the risk of UTIs.
B. Tobacco use is a risk factor for cardiovascular issues with hormonal contraceptives but not for barrier methods like diaphragms.
C. History of positive group B streptococcus B-hemolytic is a concern for newborn care and labor management, but it is not a contraindication for the use of a diaphragm.
D. Deep-vein thrombosis is a contraindication for hormonal contraceptives due to an increased risk of clotting but does not affect the use of diaphragms, which are a barrier method of contraception.
Correct Answer is B
Explanation
A. Magnesium sulfate is used to manage preeclampsia or prevent preterm labor, not for treating an ectopic pregnancy. It does not address the issue of an unruptured ectopic pregnancy.
B. Methotrexate is a medication used to treat an unruptured ectopic pregnancy by dissolving the ectopic tissue and allowing it to be reabsorbed by the body. It is a first-line treatment for early, unruptured ectopic pregnancies to prevent complications.
C. Calcium gluconate is used to treat hypocalcemia or to counteract the effects of magnesium sulfate in preeclampsia, not for ectopic pregnancies. It is not relevant to the management of an unruptured ectopic pregnancy.
D. Terbutaline is used to manage preterm labor by relaxing uterine contractions. It does not address the treatment of an ectopic pregnancy and is not indicated for this condition.
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