A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the woman and documents the following findings: temperature of 98.1F, pulse rate of 96 beats/min, respiratory rate of 10 breaths/min, blood pressure (BP) of 135/90 mm Hg, 1+ deep tendon reflexes, and not ankle clonus. The nurse calls the physician, anticipating an order for:
Select one:
Diazepam.
Hydralazine orally twice a day.
Calcium Gluconate
Second bolus of Magnesium sulfate.
The Correct Answer is C
a. Diazepam is not indicated for the treatment of severe preeclampsia.
b. Hydralazine orally twice a day is not indicated for the treatment of severe preeclampsia.
c. Calcium Gluconate is indicated for the treatment of hypermagnesemia, which can occur as a result of magnesium sulfate infusion.
d. This will worsen the magnesium toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. This is not the correct intervention for a prolapsed umbilical cord.
b. This is not the correct intervention for a prolapsed umbilical cord.
c. This is the correct intervention for a prolapsed umbilical cord as it helps relieve pressure on the cord and improve fetal oxygenation.
d. This may be necessary if other interventions are not successful, but it is not the initial priority.
Correct Answer is A
Explanation
a. Dinoprostone gel is a prostaglandin E2 (PGE2) analog that is used to ripen the cervix in preparation for induction of labor.
b. Dinoprostone gel is not used to treat preeclampsia.
c. Dinoprostone gel causes uterine contractions.
d. Dinoprostone gel is not used to treat genital herpes simplex virus.
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