A 35-year-old gravida V para IV is admitted at 36 weeks' gestation with a diagnosis of severe preeclampsia. She is started on magnesium sulfate (MgSO4) IV
Which of these signs would indicate to the nurse that the client has developed magnesium sulfate toxicity? a. Deep tendon reflexes are normal. c. Respirations are 10 per minute.
b. Blood pressure remains unchanged. d. Urine output is 40 cc per hour.
C
Magnesium sulfate is the medication of choice. Respirations must be at least 12, urine output at least 30 cc/hour, and deep tendon reflexes normal before the client can receive the medication.
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A nurse is examining a child who has sustained blunt trauma to the eye area. The nurse suspects a simple contusion based on which of the following?
A) Pain in the eye B) Impaired visual acuity C) Blurred vision D) Intact extraocular movements
The nurse recently diagnosed a client as experiencing Visual Sensory/Perceptual Alterations related to increased intraocular pressure. The priority for the plan of care would be
a. encouraging compliance with drug therapy to prevent loss of vision. b. managing the severe pain experienced until the optic nerve atrophies. c. providing anticipatory guidance regarding the eventual loss of peripheral vision. d. recognizing that damage to the eye caused by glaucoma can be reversed.
A local health department provides a hypertension screening to all individuals. Which of the fol-lowing general categories of health care functions is being used?
a. Direct services b. Financing c. Information d. Policy setting
In application of the principles of pain treatment, what is the first consideration?
a) Treatment is based on client goals. b) A multidisciplinary approach is needed. c) The client's perception of pain must be accepted. d) Drug side effects must be prevented and managed.