A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
This medication increases cardiac output
This medication stabilizes the fetal heart rate
The medication improves tissue perfusion
The medication prevents seizures
The Correct Answer is D
A. This medication increases cardiac output: Magnesium sulfate does not typically increase cardiac output. Its primary role in the context of preeclampsia is to prevent seizures and manage hypertension.
B. This medication stabilizes the fetal heart rate: While magnesium sulfate can have a relaxing effect on the uterus, which might indirectly influence fetal heart rate, its primary purpose in preeclampsia is seizure prevention rather than fetal heart rate stabilization.
C. The medication improves tissue perfusion: Magnesium sulfate primarily functions as an anticonvulsant and tocolytic (relaxes the uterus). While its effects on vasodilation can contribute to improved blood flow, the primary indication in preeclampsia is seizure prevention.
D. The medication prevents seizures
Magnesium sulfate is commonly used in the management of preeclampsia to prevent seizures (eclampsia), a serious complication of the condition. It has anticonvulsant properties and is the primary medication for seizure prophylaxis in pregnant individuals with preeclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"}}
Explanation
Cloudy urine:
Interpretation: Sign of potential improvement
Explanation: Cloudy urine is unrelated to the diagnosis of postpartum hemorrhage. However, it may be a sign of dehydration, and if the client is receiving appropriate interventions, improved hydration may lead to clearer urine.
Fundus at the level of the umbilicus:
Interpretation: Sign of potential worsening condition
Explanation: The fundus at the level of the umbilicus suggests that the uterus is not adequately contracting. This finding is a sign of potential worsening condition as the uterus should be contracting and descending in the postpartum period.
Blood pressure 80/50 mm Hg:
Interpretation: Sign of potential worsening condition
Explanation: A significant drop in blood pressure (80/50 mm Hg) is indicative of hypotension, which can be a sign of worsening postpartum hemorrhage. Hypotension requires immediate attention and intervention.
Moderate lochia rubra:
Interpretation: Unrelated to diagnosis
Explanation: Lochia rubra is the normal vaginal discharge after childbirth and is unrelated to the diagnosis of postpartum hemorrhage. It is a normal part of the postpartum recovery process.
Fundus firm to palpation:
Interpretation: Sign of potential improvement
Explanation: A firm fundus to palpation is a positive sign, indicating that the uterus is contracting and the bleeding may be decreasing. This is a sign of potential improvement.
Thready pulse:
Interpretation: Sign of potential worsening condition
Explanation: A thready pulse is indicative of reduced cardiac output, possibly due to significant blood loss. It is a sign of potential worsening condition and requires prompt intervention.
Correct Answer is A
Explanation
A. Lentils: Lentils are an excellent source of dietary fiber. They provide both soluble and insoluble fiber and are high in protein. One cup of cooked lentils can contain a significant amount of fiber.
B. Asparagus: Asparagus is a nutritious vegetable, but its fiber content is relatively lower compared to lentils. It contains soluble and insoluble fiber, contributing to overall dietary fiber intake.
C. Oatmeal: Oatmeal is a good source of soluble fiber, particularly beta-glucans. While it is a healthy choice for increasing fiber intake, the actual fiber content per cup can vary depending on the type and preparation of oatmeal.
D. Cabbage: Cabbage is a vegetable that contains fiber, but its fiber content per cup is generally lower compared to lentils. It is a good addition to a high-fiber diet but may not provide as much fiber in a single cup serving.
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