A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following findings should the nurse report to the provider?
2+ deep tendon reflex.
Facial flushing.
Respiratory rate 13/min.
Urine output 20 mL/hr.
The Correct Answer is D
A. 2+ deep tendon reflexes are within the expected range and are not typically concerning in a client receiving magnesium sulfate for preeclampsia.
B. Facial flushing can occur as a side effect of magnesium sulfate but is not typically a cause for immediate concern unless it is severe or accompanied by other symptoms.
C. A respiratory rate of 13/min is within the expected range and is not typically a concerning finding in a client receiving magnesium sulfate.
D. Urine output of 20 mL/hr is significantly decreased and may indicate reduced renal perfusion, which can be a serious complication of preeclampsia. Therefore, it should be reported to the provider for further evaluation and management.
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Related Questions
Correct Answer is D
Explanation
A. Celiac disease is an autoimmune disorder characterized by intolerance to gluten, a protein found in wheat, barley, and rye. It is not directly related to excessive milk consumption.
B. Lactose intolerance is a condition in which the body is unable to digest lactose, the sugar found in milk and dairy products. Excessive milk consumption could exacerbate symptoms in individuals with lactose intolerance, but it is not the primary concern in this scenario.
C. Acute renal failure is not directly related to excessive milk consumption in an otherwise healthy toddler.
D. Excessive milk consumption can interfere with iron absorption from other foods, leading to iron-deficiency anemia, especially if the child's overall diet is poor or lacks sources of iron.
Therefore, this practice places the toddler at risk for iron-deficiency anemia.
Correct Answer is A
Explanation
A. The initial DTaP vaccine is typically administered to infants at 2 months of age as part of the routine childhood vaccination schedule recommended by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP). This vaccine is crucial for protecting infants against diphtheria, tetanus, and pertussis.
B. While DTaP vaccination is important, it is usually administered at 2, 4, and 6 months of age, with booster doses given later in childhood. Therefore, a 4-month-old infant would have already received the initial dose by this time.
C. Similarly, a 6-month-old infant would have already received the initial dose of the DTaP vaccine at 2 months of age, as part of the recommended vaccination schedule.
D. By 15 months of age, the child would have completed the primary series of DTaP vaccination and would be due for a booster dose rather than the initial vaccine.
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