A patient diagnosed with preeclampsia is admitted to the hospital and prescribed magnesium sulfate therapy.
What is the purpose of administering magnesium sulfate to this patient?

To decrease her blood pressure.

To decrease her tidal volume.

To prevent her from becoming dehydrated.

To prevent her from having convulsions.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D: To prevent her from having convulsions. Magnesium sulfate is a mineral that reduces seizure risks in women with preeclampsia, a condition of high blood pressure and protein in the urine during pregnancy. Magnesium sulfate can lower the cerebral perfusion pressure and prevent convulsions. However, magnesium sulfate does not affect the neonatal outcomes and can cause side effects such as respiratory depression.

Choice A is wrong because magnesium sulfate does not decrease blood pressure. It is used along with medications that help reduce blood pressure.

Choice B is wrong because magnesium sulfate does not decrease tidal volume. It can cause respiratory depression if the serum level is too high.

Choice C is wrong because magnesium sulfate does not prevent dehydration. It can cause fluid retention and pulmonary edema if given in excess.

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Correct Answer is C

Explanation

The correct answer is choice C. Reminding her that she should be happy that one child survived and is healthy is the least helpful nursing action in supporting the woman as she copes with her loss.

This statement minimizes her grief and implies that she should not feel sad about the deceased twin.

It also disregards her attachment to both babies and her need to mourn the loss of one of them.

Choice A is wrong because offering her the opportunity for counseling to help her grieve is a helpful nursing action that recognizes her emotional distress and provides her with professional support.

Choice B is wrong because encouraging the woman to hold the deceased twin as well as the living twin is a helpful nursing action that allows her to acknowledge and bond with both babies and to create memories that may facilitate healing.

Choice D is wrong because assisting the woman to take pictures of both babies is a helpful nursing action that provides her with tangible mementos of her twins and honors their

A. “Did you know that your baby’s development is affected by the type of drugs you use during the pregnancy?”. B. “Are you aware that using nonprescription medication during pregnancy may be regarded as child abuse?”. C. “What drugs have you used during your pregnancy?”. D. “Have you ever used street drugs?”.

Correct Answer is C

Explanation

The correct answer is choice C. “What drugs have you used during your pregnancy?”.

This question is open-ended and nonjudgmental, which encourages the patient to disclose more information about her drug use.

The nurse can then assess the type, frequency, and amount of drugs used and plan appropriate interventions.

Choice A is wrong because it is a closed-ended question that can be answered with a yes or no, and it implies criticism of the patient’s behavior, which may make her defensive and less willing to cooperate.

Choice B is wrong because it is also a closed-ended question that can be answered with a yes or no, and it may frighten or anger the patient, who may not be aware of the legal implications of her drug use.

Choice D is wrong because it is too vague and may not cover all the possible drugs that the patient may have used, such as prescription medications, alcohol, or tobacco.

It also labels the patient as a drug user, which may offend her or make her feel ashamed.

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A patient diagnosed with preeclampsia is admitted to the hospital and prescribed magnesium sulfate therapy. What is the purpose of administering magnesium sulfate to this patient?

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Naxlex Comprehensive Predictor Exams

A woman gives birth to twin girls, one of whom is stillborn. Which nursing action would be least helpful in supporting the woman as she copes with her loss?

Correct Answer is C

Explanation

The nurse suspects drug abuse in a patient admitted with no prenatal care and a diagnosis of abruptio placentae.Which question would elicit the most information from the patient concerning the suspected drug use?

Correct Answer is C

Explanation

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A patient diagnosed with preeclampsia is admitted to the hospital and prescribed magnesium sulfate therapy.
What is the purpose of administering magnesium sulfate to this patient?