A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?
Hyporeflexia
Tachypnea
Polyuria
Agitation
The Correct Answer is A
A. Hyporeflexia is a significant adverse effect of magnesium sulfate therapy and can indicate magnesium toxicity. It is essential for the nurse to monitor deep tendon reflexes as part of the assessment when a client is receiving this medication. A decrease in reflexes may warrant immediate intervention and reporting to the provider.
B. Tachypnea is not a common adverse effect of magnesium sulfate; however, if it occurs, it may indicate respiratory distress, which should be assessed further.
C. Polyuria is not a typical adverse effect of magnesium sulfate. In fact, magnesium can lead to decreased urine output in some cases, especially with toxicity.
D. Agitation is also not a typical adverse effect of magnesium sulfate. Clients receiving magnesium sulfate may exhibit sedation rather than agitation.
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Related Questions
Correct Answer is B
Explanation
A. applying petroleum jelly to the suppository, is not necessary and may interfere with the medication's absorption.
B. Inserting the suppository along the posterior vaginal wall as far up as one can go.
C. inserting the suppository 5 cm (2 in), is the incorrect technique for administering a vaginal suppository. It should be administered as high up as one comfortably can
D. assisting the client into a prone position, is unnecessary and not related to the administration of the suppository.
Correct Answer is C
Explanation
A. Terbutaline is a medication used to relax the uterine muscles and is not indicated for the treatment of ectopic pregnancy.
B. Magnesium sulfate is typically used for conditions like preeclampsia and eclampsia, not for treating ectopic pregnancy.
C. Methotrexate is the preferred medication for treating unruptured ectopic pregnancies, especially when they are in early stages (before rupture occurs).
D. Calcium gluconate is used to treat calcium deficiencies and is not indicated for ectopic pregnancy.
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