A nurse is assessing a client who is receiving IV magnesium sulfate for treatment of preeclampsia. Which of the following findings should the nurse report?
24 hr urine output 960 mL
Blood pressure 122/88 mm Hg
1+ deep tendon reflexes
Pupils equal, round, react to light, accommodation
The Correct Answer is C
A. Output above 30 mL/hr is acceptable and not concerning.
B. A BP of 122/88 is within normal limits.
C. A decrease in deep tendon reflexes (DTRs), such as 1+, can indicate magnesium toxicity and requires immediate intervention.
D. Normal pupillary findings do not indicate toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Alopecia is not a common adverse effect of atorvastatin.
B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.
C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.
D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.
E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.
Correct Answer is D
Explanation
A. Epoetin alfa should be stored in the refrigerator but never frozen; thawing is not appropriate.
B. The medication should not be diluted prior to administration.
C. Shaking can denature the protein in the medication and is contraindicated.
D. A cloudy solution indicates contamination or degradation, and the medication should be discarded.
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