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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. It is essential to regularly reposition the newborn (every 2-3 hours) to ensure even exposure to the phototherapy light and to prevent pressure sores. Keeping the newborn supine throughout the treatment is not recommended.
B. The newborn should be undressed, except for a diaper, during phototherapy to maximize skin exposure to the light. Lightweight clothing can reduce the effectiveness of the treatment.
C. Temperature monitoring should be more frequent than every 8 hours. Phototherapy can cause fluctuations in the newborn's temperature, including overheating or hypothermia, so checking every 2-4 hours is generally recommended.
D. Lotions or ointments should not be applied to the newborn's skin during phototherapy because they can absorb heat, potentially leading to burns or skin irritation. Phototherapy can dry out the skin, but moisturizing treatments should be avoided during the therapy itself.
Correct Answer is A
Explanation
Lentils. Lentils have the highest fiber content per cup compared to the other options. One cup of cooked lentils provides approximately 15.6 grams of fiber. Oatmeal provides approximately 4 grams of fiber per cup, asparagus provides approximately 3.6 grams of fiber per cup, and cabbage provides approximately 2.6 grams of fiber per cup. Increasing dietary fiber is an effective way to manage constipation during pregnancy, as it can promote bowel regularity and prevent complications such as hemorrhoids. The nurse can provide additional education on other high-fiber food options, the importance of drinking adequate fluids, and the need to increase physical activity to help manage constipation. 
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