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A nurse is monitoring a client who is receiving magnesium sulfate for severe preeclampsia. The client asks, "How will I know if the medication is working?" Which response by the nurse is most appropriate?

A.

"We will monitor your blood pressure to see if it decreases."

B.

"We will check for a reduction in swelling and fluid retention."

C.

"We will assess for a decrease in seizure activity and improved reflexes."

D.

"You should feel less pain and have fewer headaches."

Answer and Explanation

The Correct Answer is C

A. "We will monitor your blood pressure to see if it decreases."
While magnesium sulfate may have a mild antihypertensive effect, it is not primarily given to lower blood pressure; antihypertensives are used for that purpose.

B. "We will check for a reduction in swelling and fluid retention."
Edema in preeclampsia is due to capillary leakage and kidney dysfunction, not directly affected by magnesium sulfate.

C. "We will assess for a decrease in seizure activity and improved reflexes."
Magnesium sulfate is used primarily as a seizure prophylaxis in preeclampsia by stabilizing the central nervous system and reducing hyperreflexia and clonus, which are signs of worsening preeclampsia.

D. "You should feel less pain and have fewer headaches."
 While magnesium sulfate can improve symptoms, it is not an analgesic and does not directly relieve pain.


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Related Questions

Correct Answer is D

Explanation

A. "The placenta is the site of gas exchange for the fetus."
This is correct because the placenta facilitates oxygen and carbon dioxide exchange between maternal and fetal circulation without direct blood mixing.
B. "The umbilical arteries carry deoxygenated blood from the fetus to the placenta."
This is correct because the two umbilical arteries carry deoxygenated blood from the fetus to the placenta, where gas exchange occurs.
C. "The fetal heart pumps blood to both the placenta and the developing organs."
This is correct because the fetal heart pumps oxygenated blood to its developing organs and sends deoxygenated blood to the placenta for gas exchange.
D. "Maternal and fetal blood mix to allow for nutrient and oxygen exchange."
This is incorrect because maternal and fetal blood do not mix under normal conditions. Instead, nutrients, gases, and waste products pass through the placental barrier via diffusion. If maternal and fetal blood mix, it could indicate a placental rupture or pathological condition.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}

Explanation

Step 1: Identify the Prescribed Volume

The provider prescribed 15 mL of codeine with acetaminophen oral elixir to be taken by mouth once.
Correct choice: 15 mL

Step 2: Calculate the Codeine Dose

The formulary concentration states:

  • 2.4 mg/mL of codeine

15mL×2.4mg/mL=36 mg of codeine

Correct choice: 36 mg of codeine

Step 3: Calculate the Acetaminophen Dose

The formulary concentration states:

  • 24 mg/mL of acetaminophen

15mL×24mg/mL=360mg of acetaminophen

Correct choice: 360 mg of acetaminophen

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