A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Increased fetal movement

Increased respiratory rate

Increased muscle weakness

Increased urinary output

Answer and Explanation

The Correct Answer is C

The correct answer is choice C, "Increased muscle weakness." The nurse should instruct the client to report increased muscle weakness, as this can indicate toxicity from magnesium sulfate. Increased fetal movement is not an indication of toxicity from magnesium sulfate. Increased respiratory rate is a common side effect of magnesium sulfate and does not require intervention unless it is significantly increased. Increased urinary output is a normal effect of magnesium sulfate and does not require intervention.

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Correct Answer is B

Explanation

The correct answer is choice B: Hearing loss. Cytomegalovirus (CMV) is a common virus that can cause serious complications in infants who are infected with the virus during pregnancy. Infants with congenital CMV infection can have hearing loss, vision impairment, and developmental delays.

Choice A, macrosomia, choice C, urinary tract infection, and choice D, cataracts, are not typical findings in infants with congenital CMV infection.

A. A client who has preeclampsia and a creatinine level of 1.1 mg/dL B. A client who has placenta previa and a hematocrit of 36% C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L D. A client who has diabetes mellitus and an HbA1c of 5.8%

Correct Answer is C

Explanation

The correct answer is choice C, the client who has hyperemesis gravidarum and a sodium level of 110 mEq/L should be assessed first. This client's low sodium level indicates hyponatremia, which can lead to seizures and brain damage if not corrected promptly. The nurse should assess the client's neurologic status, including level of consciousness, reflexes, and motor function, and notify the provider immediately. The other clients also require close monitoring and intervention, but their conditions are not as urgent as the client with hyponatremia. Clients with preeclampsia require monitoring of blood pressure and kidney function, clients with placenta previa require monitoring of bleeding and hematocrit levels, and clients with diabetes mellitus require monitoring of blood glucose levels and HbA1c.

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A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?

Correct Answer is B

Explanation

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?

Correct Answer is C

Explanation

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