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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. If the client feels like she has butterflies in her stomach, it means her baby is moving.
This is a normal and expected change during pregnancy, especially in the second and third trimesters.The baby’s movements can be felt as flutters, kicks, or rolls.
Choice A is wrong because spotting of blood on the underwear is not a normal change during pregnancy.
It can indicate a problem such as placenta previa, placental abruption, or miscarriage.Any bleeding during pregnancy should be reported to the health care provider.
Choice B is wrong because clear fluid leaking from the vagina is not a normal change during pregnancy.
It can indicate that the membranes have ruptured and amniotic fluid is escaping.
This can lead to infection and preterm labor if not treated promptly.Any fluid leakage during pregnancy should be reported to the health care provider.
Choice C is wrong because dark patches on the face are not a sign of high blood pressure during pregnancy.
They are called melasma or chloasma and are caused by increased pigmentation due to hormonal changes.They usually fade after delivery and are not harmful.High blood pressure during pregnancy can cause symptoms such as headache, blurred vision, swelling, and protein in the urine.
Correct Answer is A
Explanation
The correct answer is choice A: “The discharge that you are describing is normal at this time.” This is because the client is experiencing lochia serosa, which is a brownish discharge that occurs from about day 4 to day 10 postpartum.
Lochia serosa is composed of old blood, serum, leukocytes, and tissue debris.
It indicates that the placental site is healing and the uterus is involuting.
Choice B is wrong because fever is a sign of infection, not normal lochia.
Choice C is wrong because ovulation usually does not resume until 6 weeks postpartum for nonbreastfeeding women and later for breastfeeding women.
Choice D is wrong because iron supplements do not affect lochia color or amount.
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