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. History of renal calculi is not a contraindication to the use of oral contraceptives.

B. Migraines with aura are considered a contraindication to the use of estrogen-containing oral contraceptives due to an increased risk of stroke and other cardiovascular events.
C. BMI of 26 is not a contraindication to the use of oral contraceptives.

D. History of cholecystectomy is not a contraindication to the use of oral contraceptives.

A. Lip-smacking B. Stiff posture C. Weak cry D. Tongue-darting

Correct Answer is C

Explanation

A. Lip-smacking may indicate hunger or a desire to feed but is not necessarily indicative of pain in a newborn with shoulder dystocia.
B. Stiff posture may indicate discomfort or distress, but it is not specific to pain and can be caused by various factors.
C. A weak cry can be a sign of pain or distress in newborns. It may indicate that the newborn is experiencing discomfort related to the shoulder dystocia.
D. Tongue-darting is a normal reflex in newborns and is not typically associated with pain.

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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 reviewing the medical record of a client who is requesting an oral contraceptive. Which of the following findings should the nurse identify as a contraindication to the use of oral contraceptives?

Correct Answer is B

Explanation

A nurse is collecting data from a newborn who has shoulder dystocia. The nurse should identify which of the following findings as an indication of pain?

Correct Answer is C

Explanation

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