A nurse is caring for a client with PROM who is receiving magnesium sulfate as a tocolytic agent.
Which of the following assessments should the nurse perform to monitor for magnesium toxicity?
Deep tendon reflexes
Urine output
Serum magnesium level
All of the above.
The Correct Answer is D
The nurse should perform all of the assessments listed to monitor for magnesium toxicity.
Magnesium sulfate is a drug that is given to prevent preterm labor by relaxing the uterine muscle.
However, it can also cause serious side effects such as weakness, low blood pressure, respiratory paralysis, and cardiac problems if the level of magnesium in the blood is too high.
The normal level of magnesium in the blood is about 1.5-2.5 mEq/L. Symptoms of toxicity may appear when the level reaches 4 mEq/L or higher.
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Related Questions
Correct Answer is B
Explanation
Increased amniotic fluid index indicates a positive outcome of antibiotic therapy for a client who has PPROM at 28 weeks of gestation.Antibiotics are used to prevent or treat infection and prolong pregnancy in women with PPROM.Infection can cause oligohydramnios (low amniotic fluid) which can lead to fetal complications such as cord compression, pulmonary hypoplasia and limb deformities.
Therefore, an increased amniotic fluid index suggests that the infection has been reduced or resolved and the risk of preterm birth has been lowered.
Normal ranges for amniotic fluid index are 5 to 25 cm.Normal ranges for maternal pulse rate are 60 to 100 beats per minute.Normal ranges for maternal leukocyte count are 4.5 to 11 x 10^9/L.
Correct Answer is D
Explanation
The nurse should perform all of the assessments listed to monitor for magnesium toxicity.
Magnesium sulfate is a drug that is given to prevent preterm labor by relaxing the uterine muscle.
However, it can also cause serious side effects such as weakness, low blood pressure, respiratory paralysis, and cardiac problems if the level of magnesium in the blood is too high.
The normal level of magnesium in the blood is about 1.5-2.5 mEq/L.Symptoms of toxicity may appear when the level reaches 4 mEq/L or higher.
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