A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
Hypertension
Hypoglycemia
Respiratory rate 16/min
Urine output 20 mL/hr
The Correct Answer is D
A) Hypertension is not typically an adverse reaction to magnesium sulfate; this medication is actually used to lower high blood pressure in preeclampsia.
B) Hypoglycemia is also not a common adverse reaction to magnesium sulfate. This medication does not typically affect blood sugar levels.
C) A respiratory rate of 16/min is within normal limits and is not indicative of an adverse reaction to magnesium sulfate, which can cause respiratory depression if it does affect breathing.
D) Urine output of 20 mL/hr is a concerning sign and can indicate nephrotoxicity or acute kidney injury, which are possible adverse reactions to magnesium sulfate, especially in the context of preeclampsia where kidney function must be closely monitored.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Fundal height is measured from the top of the pubic bone to the top of the uterus and is used to assess fetal growth. A fundal height measurement that is larger than expected for gestational age may indicate a problem such as macrosomia (a larger than average baby), which can be a complication of gestational diabetes. The nurse should report this finding to the provider for further evaluation.
Correct Answer is C
Explanation
Choice A is incorrect because medroxyprogesterone injections are typically given every three months, not every eight weeks.
Choice B is incorrect; the client will receive only one shot at a time, not two.
Choice C is correct; clients are advised to increase their calcium intake while on medroxyprogesterone to help prevent bone density loss, which can be a side effect of the medication.
Choice D is incorrect; spotting is a common side effect of medroxyprogesterone, and clients are usually advised to continue the medication despite this unless advised otherwise by their healthcare provider.
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