A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

Drowsiness

Facial flushing

Nausea

Respiratory depression

Answer and Explanation

The Correct Answer is D

Explanation:

A. Drowsiness: Mild drowsiness is a common side effect of magnesium sulfate therapy and is not necessarily indicative of toxicity. However, severe drowsiness or lethargy can be a sign of magnesium toxicity and should be reported to the provider.

B. Facial flushing: Facial flushing is a common side effect of magnesium sulfate administration and is generally not a sign of toxicity. It is often accompanied by warmth and redness of the skin but is not considered a serious adverse reaction.

C. Nausea: Nausea is another common side effect of magnesium sulfate therapy and is usually mild and transient. It is not typically indicative of toxicity unless it is severe and persistent.

D. Respiratory depression: Respiratory depression is a critical sign of magnesium toxicity. Excessive levels of magnesium can affect neuromuscular function, leading to respiratory muscle weakness and depression. This can result in shallow or slowed breathing, decreased oxygenation, and potential respiratory failure. Respiratory depression is a serious complication that requires immediate intervention, and the nurse should report it to the provider promptly.

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Correct Answer is D

Explanation

Explanation:

The safest recommendation for alcohol intake during pregnancy is to avoid alcohol completely. There is no known safe level of alcohol consumption during pregnancy, as even small amounts of alcohol can potentially harm the developing fetus. Alcohol crosses the placenta and can lead to a range of serious complications known as fetal alcohol spectrum disorders (FASDs), including physical, behavioral, and intellectual disabilities.

A. "I should drink about 2 liters of fluid each day." B. "I can have a moderate amount of caffeine daily." C. "I should not drink alcoholic beverages during my pregnancy." D. "I should increase my calcium intake to 1,500 milligrams per day."

Correct Answer is D

Explanation

Explanation:

A. "I should drink about 2 liters of fluid each day."

This statement is generally accurate and aligned with recommendations for adequate hydration during pregnancy. The recommended daily fluid intake for pregnant individuals is typically around 8 to 10 cups of fluids per day, which is approximately 2 liters. Adequate hydration is important during pregnancy to support overall health, prevent dehydration, and maintain proper functioning of bodily systems.

B. "I can have a moderate amount of caffeine daily."

This statement is generally acceptable and aligned with guidelines from organizations such as the American College of Obstetricians and Gynecologists (ACOG). Moderate caffeine intake, typically defined as up to 200 milligrams per day, is considered safe during pregnancy for most individuals. However, it's essential to be mindful of caffeine sources and consume them in moderation, as excessive caffeine intake can have adverse effects on pregnancy outcomes.

C. "I should not drink alcoholic beverages during my pregnancy."

This statement is correct and crucial for a healthy pregnancy. Alcohol consumption during pregnancy is associated with various risks, including fetal alcohol spectrum disorders (FASDs) and developmental issues. Therefore, healthcare providers universally recommend abstaining from alcohol entirely during pregnancy to protect the health and well-being of both the mother and the developing baby.

D. "I should increase my calcium intake to 1,500 milligrams per day."

This statement indicates a need for clarification because the recommended daily intake of calcium during pregnancy is typically around 1,000 milligrams per day for most pregnant individuals. While some healthcare providers may recommend slightly higher amounts, such as up to 1,300 milligrams per day, a calcium intake of 1,500 milligrams per day is relatively high and may not align with standard recommendations without specific indications such as a history of low calcium levels or certain medical conditions. It's important for the nurse to clarify and provide accurate information regarding appropriate calcium intake during pregnancy based on the client's individual needs.

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A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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