A charge nurse is educating a newly licensed nurse about fluid and electrolyte balance. Which of the following manifestations should the newly licensed nurse identify as a sign of magnesium sulfate toxicity?

Bradypnea

Tremors

Insomnia

Hypertension

Answer and Explanation

The Correct Answer is A

A. Bradypnea: Magnesium sulfate toxicity depresses the central nervous system, leading to respiratory depression such as bradypnea. This is a critical sign requiring immediate intervention, as respiratory rates below 12 breaths per minute can be life-threatening.
B. Tremors: Tremors are typically associated with hypomagnesemia or withdrawal states, not magnesium toxicity. Magnesium toxicity causes muscle weakness and diminished reflexes rather than increased neuromuscular activity.
C. Insomnia: Insomnia is not a recognized symptom of magnesium toxicity. In contrast, elevated magnesium levels tend to cause sedation, lethargy, and decreased mental alertness.
D. Hypertension: Magnesium sulfate can actually lower blood pressure due to its vasodilatory effects. Hypertension would be inconsistent with toxicity and more commonly seen in preeclampsia before magnesium is administered.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Prenatal anemia: Decreases the oxygen-carrying capacity of the blood, impairing tissue oxygenation and immune response. This weakened immune status makes the client more vulnerable to infections during the postpartum period and delays healing.
High parity: Increases the risk of uterine atony because repeated pregnancies and deliveries cause stretching and weakening of the uterine muscle. This reduces the uterus’s ability to contract effectively after birth, increasing the risk of postpartum hemorrhage.
Polyhydramnios; Leads to overdistension of the uterus during pregnancy, which can impair uterine muscle tone and its ability to contract properly after delivery. This overdistension is a common cause of uterine atony and related postpartum bleeding.
Prolonged rupture of membranes: Allows bacteria from the vagina to ascend into the uterus over time, significantly increasing the risk of infection such as chorioamnionitis or postpartum endometritis. The longer the membranes are ruptured before delivery, the greater the infection risk.

A. Review the facility policy about the use of an interpreter. B. Request an interpreter of a different gender from the client. C. Direct attention toward the interpreter when speaking to the client. D. Request a family member or friend to interpret information for the client.

Correct Answer is A

Explanation

A. Review the facility policy about the use of an interpreter: Reviewing the policy ensures compliance with institutional and legal standards for providing language services, helping the nurse arrange an appropriate and qualified interpreter.
B. Request an interpreter of a different gender from the client: Gender preferences may vary by culture, but requesting a different-gender interpreter without considering the client's preferences may cause discomfort or miscommunication.
C. Direct attention toward the interpreter when speaking to the client: The nurse should maintain eye contact and speak directly to the client to foster trust and communication, rather than addressing the interpreter.
D. Request a family member or friend to interpret information for the client: Using untrained individuals may lead to misinterpretation, violate confidentiality, and is discouraged except in emergencies when no professional is available.

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A charge nurse is educating a newly licensed nurse about fluid and electrolyte balance. Which of the following manifestations should the newly licensed nurse identify as a sign of magnesium sulfate toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

A nurse is caring for a client who speaks a language different from the nurse. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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