A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.Which of the following adverse effects should the nurse report to the provider?

Choice A rationale

Ensuring the client has a full bladder before the procedure is incorrect. A full bladder can cause discomfort during the pelvic examination and may obscure the pelvic organs, making the examination more challenging for the provider.

Choice B rationale

Instructing the client to bear down when the speculum is inserted is correct. Bearing down helps relax the pelvic muscles, making it easier to insert the speculum and perform the examination with minimal discomfort.

Choice C rationale

Encouraging the client to take rapid, shallow breaths during the procedure is incorrect. This can increase anxiety and tension in the pelvic muscles, making the examination more uncomfortable.

Choice D rationale

Applying povidone-iodine to the provider's fingers prior to bimanual examination is incorrect. The standard procedure involves using gloves and lubricant to prevent infection and ensure patient comfort, not povidone-iodine.

The nurse should prepare to reinforce teaching with the client about a low-sodium diet with a prescription of nifedipine.

So, the correct options are:

1. C. low-sodium diet
2. A. nifedipine

Explanation:

1. Low-sodium diet:
   • The client has a history of obesity and hypertension, which are both managed effectively with a low-sodium diet. Reducing sodium intake can help lower blood pressure and reduce the risk of complications.
2. Nifedipine:
   • The client has been prescribed nifedipine, which is a medication used to treat high blood pressure. This aligns with her history of hypertension and the current elevated blood pressure readings.