A nurse is caring for a client with PROM who is receiving magnesium sulfate as a tocolytic agent.
Which of the following assessments should the nurse perform to monitor for magnesium toxicity?
Deep tendon reflexes
Urine output
Serum magnesium level
All of the above.
The Correct Answer is D
The nurse should perform all of the assessments listed to monitor for magnesium toxicity.
Magnesium sulfate is a drug that is given to prevent preterm labor by relaxing the uterine muscle.
However, it can also cause serious side effects such as weakness, low blood pressure, respiratory paralysis, and cardiac problems if the level of magnesium in the blood is too high.
The normal level of magnesium in the blood is about 1.5-2.5 mEq/L. Symptoms of toxicity may appear when the level reaches 4 mEq/L or higher.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should include all of these instructions for a client who has PPROM at 30 weeks of gestation and is on home bed rest.
Correct Answer is C
Explanation
Betamethasone is a corticosteroid that is given to women who have PPROM (preterm prelabor rupture of membranes) at 24 to 36 weeks of gestation to reduce the risk of neonatal respiratory distress syndrome and other complications.It is given as two doses of 12 mg intramuscularly, 24 hours apart.
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