Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:

Heart rate of 99

Respiratory rate of 9

BP of 99/69

Temperature of 99.9

Answer and Explanation

The Correct Answer is B

Choice A reason: This is not the most concerning vital sign because a heart rate of 99 is within the normal range for an adult. The nurse should monitor the patient's heart rate and rhythm, but it is not a sign of magnesium toxicity or adverse effects.

Choice B reason: This is the most concerning vital sign because a respiratory rate of 9 is below the normal range for an adult and indicates respiratory depression, which is a sign of magnesium toxicity. The nurse should stop the infusion, notify the provider, and prepare to administer calcium gluconate as an antidotE.

Choice C reason: This is not the most concerning vital sign because a BP of 99/69 is within the normal range for an adult. The nurse should monitor the patient's blood pressure and fluid status, but it is not a sign of magnesium toxicity or adverse effects.

Choice D reason: This is not the most concerning vital sign because a temperature of 99.9 is within the normal range for an adult. The nurse should monitor the patient's temperature and infection signs, but it is not a sign of magnesium toxicity or adverse effects.

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Correct Answer is B

Explanation

A. "It is too soon for you to be worrying about that now." B. "The primary consideration for a safe attempt at a vaginal birth after cesarean (VBAC. is what type of incision you had." C. "There are so many variables and I don't have time to explain them all to you, so you will have to ask your provider later." D. "A repeat cesarean section would be safer for both you and your baby."

Correct Answer is B

Explanation

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Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?

Correct Answer is B

Explanation

A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC.. Which of the following statements by the nurse is appropriate?

Correct Answer is B

Explanation

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