Exhibits

The nurse Interprets the repeat blood gas.

Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided.

The blood gas results indicate that the client has

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A. Clients who incurred disease complications promptly received rehabilitation: This outcome suggests that the focus is on secondary prevention rather than primary prevention.
B. More than half of at-risk clients were diagnosed early in their disease process: While early diagnosis is important, it is not a direct measure of the effectiveness of a primary prevention program.
C. Average client scores improved on specific risk factor knowledge tests: This outcome indicates that clients are better informed about risk factors for sexually transmitted diseases, suggesting that the primary prevention program has been effective in increasing awareness and knowledge.
D. New screening protocols were developed, validated, and implemented: While developing new screening protocols may be beneficial, it does not directly measure the effectiveness of the
primary prevention program.

A. Prepare to prevent respiratory or cardiac arrest: The client's decreased level of consciousness and respiratory rate of 10 breaths/minute indicate a potential risk for respiratory or cardiac arrest. Immediate measures to maintain airway patency and support ventilation may be necessary.
B. Stop infusion of magnesium: The client's decreased level of consciousness and absent deep tendon reflexes (DTR) bilaterally are signs of magnesium toxicity. Stopping the infusion of magnesium sulfate is essential to prevent further complications.
C. Increasing IV fluids is not a priority in management of magnesium toxicity.
D. Obtain serum magnesium level: With signs of magnesium toxicity, obtaining a serum magnesium level is necessary to confirm the diagnosis and guide further management.
E. Administer oxygen: The client's oxygen saturation of 93% on room air indicates hypoxemia.
Administering oxygen via nasal cannula to maintain oxygen saturation greater than 96% helps prevent further respiratory compromise.
F. Obtaining blood pressure is not a priority.
G. Administer calcium gluconate: Calcium gluconate is the antidote for magnesium toxicity.
Since the client is showing signs of magnesium toxicity (decreased level of consciousness and absent DTRs), administering calcium gluconate is necessary to counteract the effects of magnesium
H. Caesarian delivery is not part of management for magnesium toicity.