A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following findings should the nurse report to the provider?

2+ deep tendon reflex.

Facial flushing.

Respiratory rate 13/min.

Urine output 20 mL/hr.

Answer and Explanation

The Correct Answer is D

A.   2+ deep tendon reflexes are within the expected range and are not typically concerning in a client receiving magnesium sulfate for preeclampsia.
B.   Facial flushing can occur as a side effect of magnesium sulfate but is not typically a cause for immediate concern unless it is severe or accompanied by other symptoms.
C.   A respiratory rate of 13/min is within the expected range and is not typically a concerning finding in a client receiving magnesium sulfate.
D.   Urine output of 20 mL/hr is significantly decreased and may indicate reduced renal perfusion, which can be a serious complication of preeclampsia. Therefore, it should be reported to the provider for further evaluation and management.

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Correct Answer is B

Explanation

A. Vomiting is not a common adverse effect of electroconvulsive therapy (ECT). Nausea may occur, but vomiting is less common.
B. Confusion is a common adverse effect of ECT, especially immediately following the procedure. It typically resolves within a short time after the treatment.
C. Incontinence is not typically associated with ECT. However, urinary retention may occur in some cases.
D. Tinnitus (ringing in the ears) is not a common adverse effect of ECT. However, some clients may experience temporary hearing disturbances immediately following the procedure.

A. Tachycardia B. Mental alertness C. Hyperreflexia D. Pinpoint pupils

Correct Answer is D

Explanation

A. Tachycardia is not typically associated with opioid intoxication. Instead, bradycardia or normal heart rate may occur due to the depressant effects of opioids on the central nervous system.
B. Opioid intoxication often results in decreased mental alertness, leading to symptoms such as drowsiness, confusion, or even unconsciousness.
C. Hyperreflexia, or exaggerated reflexes, is not a common manifestation of opioid intoxication. Instead, hyporeflexia or depressed reflexes may occur due to the central nervous system depression caused by opioids.
D. Pinpoint pupils are a classic sign of opioid intoxication. Opioids bind to receptors in the brainstem, causing pupillary constriction. This effect is so characteristic that pinpoint pupils are often referred to as "opioid pupils."

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A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data for a client following electroconvulsive therapy. Which of the following adverse effects should the nurse expect?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. Which of the following findings should the nurse identify as a manifestation of opioid intoxication?

Correct Answer is D

Explanation

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