A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

Hypertension

Hypoglycemia

Respiratory rate 16/min

Urine output 20 mL/hr

Answer and Explanation

The Correct Answer is D

A) Hypertension is not typically an adverse reaction to magnesium sulfate; this medication is actually used to lower high blood pressure in preeclampsia.

B) Hypoglycemia is also not a common adverse reaction to magnesium sulfate. This medication does not typically affect blood sugar levels.

C) A respiratory rate of 16/min is within normal limits and is not indicative of an adverse reaction to magnesium sulfate, which can cause respiratory depression if it does affect breathing.

D) Urine output of 20 mL/hr is a concerning sign and can indicate nephrotoxicity or acute kidney injury, which are possible adverse reactions to magnesium sulfate, especially in the context of preeclampsia where kidney function must be closely monitored.

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Correct Answer is D

Explanation

After giving birth, a woman's body undergoes many changes, including changes in the size and shape of the vagina. It is essential to have the correct size of diaphragm to ensure its eﬀectiveness.

Therefore, the nurse should instruct the client to have a provider refit her for a new diaphragm.

Option a is incorrect because the diaphragm should be cleaned with warm water and mild soap, not an oil- based vaginal lubricant.

Option b is incorrect because the diaphragm should be removed no sooner than 6 hours after intercourse but should not be left in place for more than 24 hours.

Option c is incorrect because oil-based vaginal lubricants can damage latex diaphragms, reducing their eﬀectiveness as a contraceptive method. Water-based lubricants should be used instead.

A. Transmission can occur via the saliva and urine of the newborn B. This infection requires that airborne precautions be initiated for the newborn C. Mothers will receive prophylactic treatment with acyclovir prior to delivery D. Lesions are visible on the mother’s genitalia

Correct Answer is A

Explanation

Transmission can occur through bodily ﬂuids, including urine, saliva, blood, breast milk, and cervical secretions. Therefore, pregnant women can acquire CMV by close contact with young children who are shedding the virus, or by exposure to contaminated body ﬂuids in healthcare settings or through sexual activity.

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A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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