A 25 years old patient at 38 weeks gestation who is in labor is being treated with magnesium sulfate for preeclampsia. Which nursing intervention does not correspond with this medication's toxicity? Select one:
Assess and record urine output.
Assess cervix dilation
Assess deep tendon reflexes
Check respiratory rate
The Correct Answer is B
a. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect renal function.
b. Assessing cervix dilation is not related to magnesium sulfate toxicity.
c. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect neuromuscular function.
d. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect respiratory function.
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Related Questions
Correct Answer is D
Explanation
a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.
Correct Answer is C
Explanation
a. This is a common cause of early decelerations, not late decelerations.
b. This is not a cause of late decelerations.
c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.
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