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 A

Explanation

The Babinski reﬂex is a normal reﬂex present in newborns and infants up to about 2 years old. It is elicited by stroking the lateral aspect of the sole of the foot from the heel towards the toes. A positive Babinski reﬂex is characterized by dorsiﬂexion (upward movement) of the big toe and fanning out of the other toes. This is also known as an extensor response.

Therefore, option a, eversion of the great toe, is the expected finding for a positive Babinski reﬂex. Options b, c, and d are not consistent with a positive Babinski reﬂex.

A. Dizziness B. Increased urination C. Double vision D. Sweating

Correct Answer is B

Explanation

Hyperglycemia, or high blood sugar, can cause increased urination as the body tries to remove excess glucose from the blood. This can lead to dehydration and increased thirst.

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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

A nurse is performing an assessment of a newborn’s Babinski reﬂex. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who has pregestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse that the client has hyperglycemia?

Correct Answer is B

Explanation

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