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 fetal movement
Increased respiratory rate
Increased muscle weakness
Increased urinary output
The Correct Answer is C
The correct answer is choice C, "Increased muscle weakness." The nurse should instruct the client to report increased muscle weakness, as this can indicate toxicity from magnesium sulfate. Increased fetal movement is not an indication of toxicity from magnesium sulfate. Increased respiratory rate is a common side effect of magnesium sulfate and does not require intervention unless it is significantly increased. Increased urinary output is a normal effect of magnesium sulfate and does not require intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A.Administering oxygen is unnecessary for early decelerations because they are not caused by fetal hypoxia or distress.
B.Discontinuing oxytocin is indicated for late decelerations or signs of fetal distress, not early decelerations.
C.Positioning the client on her side may help with certain decelerations, but it is not required for early decelerations caused by head compression, which is expected in active labor.
D.Early decelerations in the fetal heart rate are typically benign and often associated with fetal head compression during contractions. These decelerations usually mirror the contraction pattern and do not indicate fetal distress. Therefore, continuing to monitor the client is the appropriate action, as early decelerations are a normal finding during active labor.
Correct Answer is B
Explanation
The correct answer is choice B. Facial petechiae are a clinical finding that can occur in newborns who had a nuchal cord during delivery. The nuchal cord occurs when the umbilical cord becomes wrapped around the fetal neck one or more times. Erythema toxicum is a common, benign rash that appears as small, firm, yellow, or white papules surrounded by a red halo. Periauricular papillomas and telangiectatic nevi are not associated with the nuchal cord.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today