A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Which of the following clinical findings should the nurse instruct the client to report?
Increased muscle weakness.
Increased fetal movement.
Increased respiratory rate.
Increased urinary output.
Increased urinary output.
The Correct Answer is A
Magnesium sulfate is used to prevent seizures in women with preeclampsia.
However, taking too much magnesium can be life-threatening to both mother and child.
In women, one of the most common symptoms of magnesium toxicity is muscle weakness12.
Choice B is not an answer because increased fetal movement is not a symptom of magnesium toxicity.
Choice C is not an answer because increased respiratory rate is not a symptom of magnesium toxicity.
Choice D is not an answer because increased urinary output is not a symptom of magnesium toxicity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A third-degree perineal laceration is a tear that extends through the vaginal tissue, perineal skin, and perineal muscles and involves the anal sphincter.
This type of laceration requires careful repair and management to prevent complications such as infection, fecal incontinence, and pain.
Choice A is incorrect because abdominal distention is not a contraindication to the use of a suppository.
Choice B is incorrect because afterpains are common postpartum uterine contractions and are not a contraindication to the use of a suppository.
Choice C is incorrect because vaginal candidiasis is a fungal infection and is not a contraindication to the use of a suppository.
Correct Answer is C
Explanation
Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy that can result in dehydration, weight loss, and ketosis.
Clinicians suspect hyperemesis gravidarum based on symptoms and can support the diagnosis by measuring urine ketones.
Choice A, Rapid plasma reagin, is a blood test used to screen for syphilis.
Choice B, Prothrombin time, is a blood test that measures how long it takes for blood to clot.
Choice D, Urine culture, may be indicated because urinary tract infection is common in pregnancy and can be associated with nausea and vomiting.
However, urine ketones would be a more specific test for hyperemesis gravidarum.
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