A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion.
Which of the following findings should the nurse report to the provider?

Decrease in frequency of contractions.

Urinary output 35 mL/hr.

Absent deep-tendon reﬂexes.

BP 150/100 mm Hg.

Answer and Explanation

The Correct Answer is C

A nurse should report absent deep-tendon reﬂexes to the provider when a client is receiving magnesium sulfate via continuous IV infusion.

This is because reduced tendon reﬂexes can be a side eﬀect of magnesium sulfate use during pregnancy.

Choice A is not correct because a decrease in the frequency of contractions is an expected outcome of magnesium sulfate use as a tocolytic to stop preterm labor.

Choice B is not correct because a urinary output of 35 mL/hr is within the normal range.

Choice D is not correct because an elevated blood pressure is not a known side eﬀect of magnesium sulfate use during pregnancy.

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Correct Answer is A

Explanation

“Apply ice packs to your breasts using a 15 minutes on, 45 minutes oﬀ schedule.”

This can help reduce swelling and relieve discomfort from engorgement.

Choice B is incorrect because warm water can increase blood ﬂow and may worsen engorgement.

Choice C is incorrect because a supportive bra can help reduce discomfort from engorgement.

Choice D is incorrect because pumping can stimulate milk production and may worsen engorgement.

A. Cool, clammy skin. B. Urinary output 30 mL/hr. C. Bounding pulses. D. Respiratory rate 18/min.

Correct Answer is A

Explanation

A client who is postpartum and experiencing hypovolemic shock would have cool, clammy skin.
This is because hypovolemic shock severely limits the body’s ability to get blood
to all of its organs.

Choice B is not correct because a urinary output of 30 mL/hr is within the
normal range.
Choice C is not correct because a client experiencing hypovolemic shock would have a weak pulse, not a bounding one.
Choice D is not correct because a respiratory rate of 18/min is within the normal range, while a client experiencing hypovolemic shock would have an increased respiratory rate.

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A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

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A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion.
Which of the following findings should the nurse report to the provider?