A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Which of the following findings should the nurse report to the provider?

Headache for 30 min

Fetal heart rate 158/min

Respirations 16/min

Urinary output 40 mL in 2 hr

Answer and Explanation

The Correct Answer is D

Rationale:

A. Headache can be a common side effect of magnesium sulfate but is usually not concerning unless severe or persistent.

B. A fetal heart rate of 158/min is within the normal range for a fetus and is not typically associated with magnesium sulfate administration.

C. Respirations of 16/min are within the normal range and are not typically associated with magnesium sulfate administration.

D. A urinary output of 40 mL in 2 hours is significantly reduced and may indicate magnesium toxicity or impaired renal function, which should be reported to the provider for further

evaluation and management.

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Correct Answer is C

Explanation

Rationale:

A. Panting may be indicated if pushing is premature, but the sudden urge to push suggests the need to assess for crowning.

B. While assisting the client into a comfortable position may be appropriate, it's essential to first assess for signs of imminent delivery.

C. This action is crucial to determine if the client is fully dilated and ready for delivery.

D. Helping the client to void may relieve pressure on the bladder but does not address the sudden urge to push, which may indicate imminent delivery.

A. Metronidazole B. Phenytoin C. Prednisone D. Isosorbide

Correct Answer is D

Explanation

Rationale:

A. Metronidazole: Metronidazole is an antibiotic and does not have significant interactions with sildenafil.

B. Phenytoin: Phenytoin is an anticonvulsant medication and does not have significant interactions with sildenafil.

C. Prednisone: Prednisone is a corticosteroid and does not have significant interactions with sildenafil.

D. Isosorbide: Isosorbide is a nitrate medication used to treat angin

A. Combining sildenafil with nitrate medications can lead to severe hypotension and is contraindicated. Sildenafil potentiates the vasodilatory effects of nitrates, which can result in a dangerous drop in blood pressure.

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A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Which of the following findings should the nurse report to the provider?