An obstetric nurse is caring for a patient in preterm labor. The nurse implements an order for IV magnesium sulfate. Which clinical manifestations would indicate that the patient has received too much of the medication?
a. Temperature of 104.4° F
b. Paralytic ileus
c. Hypertension
d. Confusion
B
Toxic amounts of magnesium sulfate can cause paralytic ileus and hypothermia. Initial maternal reactions include transient hypotension, flushing, headache, dizziness, lethargy, dry mouth, and a feeling of warmth.
Hyperthermia, hypertension, and confusion are not adverse effects of magnesium sulfate
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The nurse is caring for a patient who is experiencing pain and anxiety following his prostatectomy. Which intervention will likely best assist in decreasing the patient's pain and anxiety?
A) Administration of NSAIDs rather than opioids B) Allowing the patient to increase activity C) Use of guided imagery along with pain medication D) Use of deep breathing and coughing exercises
What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?
1. Acknowledge the client's actions and generate alternative behaviors. 2. Establish rapport and develop treatment goals. 3. Attempt to find alternative placement. 4. Explore how thoughts and feelings about this client may adversely impact nursing care.
Which of the following medications are considered to be Class III antiarrhythmic drugs? Select all that apply
a. Amiodarone b. Ibutilide c. Propranolol d. Esmolol e. Sotalol f. Acebutolol
The patient is complaining of increasing pain several hours after a cast was applied for a severe lower leg injury. What actions should the nurse implement after giving additional pain medica-tion with no relief?
a. Call the physician and order a cast saw to the bedside. b. Elevate the leg as high as possible and put ice on the cast. c. Administer half of a dose of additional pain medication and check vital signs. d. Try to distract the patient and have nurs-ing assistive personnel (NAP) stay with him or her.