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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C, "Notify your baby's pediatrician if he urinates less than six times a day." The nurse should instruct the postpartum client to notify her baby's pediatrician if the newborn urinates less than six times a day, which can indicate dehydration. The client should also be instructed to clean the newborn's penis with warm water and a soft cloth during diaper changes and avoid retracting the foreskin. The nurse should advise the client to apply petroleum jelly to the newborn's circumcision site to prevent irritation and adhere to a regular feeding schedule.
Correct Answer is B
Explanation
Uterine atony is a condition in which the uterus is not contracting effectively following delivery, which can lead to postpartum hemorrhage. Oxytocin is the first-line medication used to stimulate uterine contractions, but if the client fails to respond to oxytocin, the nurse should anticipate the use of a second-line medication, such as methylergonovine. Terbutaline is a tocolytic medication used to stop contractions, not stimulate them. Betamethasone is a corticosteroid used to promote fetal lung maturity before preterm delivery. Hydralazine is a vasodilator used to treat hypertension, not uterine atony.
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