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.

Answer and Explanation

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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Correct Answer is B

Explanation

Nifedipine is a calcium channel blocker that lowers blood pressure by relaxing the blood vessels.It can cause dizziness and orthostatic hypotension (a drop in blood pressure when standing up), so the client should avoid getting up suddenly from a lying or sitting position.

Choice A is wrong because grapefruit juice can increase the level of nifedipine in the blood and cause side effects such as headache, flushing, and swelling.

The client should avoid grapefruit and grapefruit juice while taking nifedipine.

Choice C is wrong because nifedipine does not affect the heart rate directly.

The client does not need to check the pulse before taking nifedipine, but should monitor the blood pressure regularly.

Choice D is wrong because nifedipine is prescribed to prevent pre-term labor by relaxing the uterine muscles.

The client should not stop taking nifedipine if contractions occur, but should contact the health care provider for further instructions.Stopping nifedipine suddenly can cause a rebound increase in blood pressure and chest pain.

A. Drink at least 2 L of fluids daily B. Use a condom during sexual intercourse C. Report any decrease in fetal movement D. Take a sitz bath twice a day

Correct Answer is A

Explanation

Drinking at least 2 L of fluids daily can help prevent dehydration and infection, which are possible complications of PROM (premature rupture of membranes).

Fluid intake also helps maintain amniotic fluid volume and fetal well-being.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who had pre-term labor and was prescribed oral nifedipine. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is providing discharge instructions to a client who experienced PROM at 20 weeks of gestation and is on home bed rest. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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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?

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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?