A nurse is teaching a client with pre-eclampsia about the signs and symptoms of magnesium toxicity.
Which of the following statements by the client indicates a need for further teaching?
“I should report any difficulty breathing to my nurse.”
“I should expect to feel some warmth and flushing when I receive magnesium.”
“I should notify my nurse if I have blurred vision or a headache.”
“I should not worry if I do not feel my baby move as much as before.”
The Correct Answer is D
“I should not worry if I do not feel my baby move as much as before.” This statement indicates a need for further teaching because decreased fetal movement is a sign of fetal distress and should be reported to the nurse immediately.
Magnesium toxicity can affect the fetal central nervous system and cause hypotonia and reduced activity.
Choice A is wrong because difficulty breathing is a sign of magnesium toxicity and should be reported to the nurse.
Magnesium can depress the respiratory system and cause respiratory failure.
Choice B is wrong because warmth and flushing are common side effects of magnesium infusion and do not indicate toxicity.
They are caused by the vasodilatory effect of magnesium on the blood vessels.
Choice C is wrong because blurred vision and headache are signs of severe pre-eclampsia and should be reported to the nurse.
They indicate increased blood pressure and possible cerebral edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D-dimer level of 0.8 mcg/mL.
D-dimer is a protein fragment that is produced when a blood clot dissolves.A high level of D-dimer indicates a risk for disseminated intravascular coagulation (DIC), a condition in which blood clots form throughout the body and block blood flow to vital organs.
Choice A is wrong because platelet count of 150,000/mm3 is within the normal range for adults, which is between 150,000 and 450,000 platelets/mcL.Platelet count may decrease in DIC due to excessive clotting and consumption of platelets.
Choice B is wrong because fibrinogen level of 300 mg/dL is within the normal range for adults, which is between 200 and 400 mg/dL.
Fibrinogen is a protein that helps blood clotting.Fibrinogen level may increase in DIC due to inflammation and tissue injury.
Choice C is wrong because prothrombin time of 15 seconds is within the normal range for adults, which is between 11 and 13.5 seconds.
Prothrombin time measures how long it takes for blood to clot.Prothrombin time may increase in DIC due to depletion of clotting factors.
Correct Answer is D
Explanation
“I should not worry if I do not feel my baby move as much as before.” This statement indicates a need for further teaching because decreased fetal movement is a sign of fetal distress and should be reported to the nurse immediately.
Magnesium toxicity can affect the fetal central nervous system and cause hypotonia and reduced activity.
Choice A is wrong because difficulty breathing is a sign of magnesium toxicity and should be reported to the nurse.
Magnesium can depress the respiratory system and cause respiratory failure.
Choice B is wrong because warmth and flushing are common side effects of magnesium infusion and do not indicate toxicity.
They are caused by the vasodilatory effect of magnesium on the blood vessels.
Choice C is wrong because blurred vision and headache are signs of severe pre-eclampsia and should be reported to the nurse.
They indicate increased blood pressure and possible cerebral edema.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.