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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
administer a bolus infusion of lactated Ringer's. Maternal hypotension is a common complication of epidural anesthesia. A bolus infusion of lactated Ringer's is an appropriate intervention for maternal hypotension due to the increased volume and pressure it provides, which can help to raise the client's blood pressure. The knee-chest position is not an appropriate intervention for maternal hypotension as it can cause a decrease in venous return to the heart. Terbutaline is a tocolytic medication used to stop premature labor, and it is not indicated for maternal hypotension. Oxygen via a nonrebreather face mask at 2 L/min is not an appropriate intervention for maternal hypotension as it does not address the underlying cause of the hypotension.
Correct Answer is A
Explanation
Answer is: a. Urine protein of 3+
Explanation:
- Urine protein of 3+ indicates severe proteinuria, which is a sign of preeclampsia and can lead to kidney damage. The nurse should report this finding to the provider as it may require medication or delivery intervention.
- Deep tendon reflexes of 2+ are normal and do not indicate preeclampsia. The nurse should monitor the client for hyperreflexia, which is a sign of increased neuromuscular irritability and can precede seizures.
- Hemoglobin 13 g/dL is within the normal range for a pregnant client and does not indicate preeclampsia. The nurse should monitor the client for anemia, which can cause maternal and fetal complications.
- Blood glucose 110 mg/dL is slightly elevated but not diagnostic of gestational diabetes, which is a different condition from preeclampsia. The nurse should advise the client to follow a balanced diet and exercise regimen and to undergo a glucose tolerance test at 24 to 28 weeks of gestation.
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