You are caring for a patient who was admitted to labor and delivery at 32 weeks' gestation and diagnosed with preterm labor. She is currently on magnesium sulfate, 2 gm per hour

Upon your initial assessment you note that she has a respiratory rate of 8 with absent deep tendon reflexes. What will be your first nursing intervention?
a. Elevate head of the bed
b. Notify the MD
c. Discontinue magnesium sulfate
d. Draw a serum magnesium level


ANS: c
Initial nursing intervention needs to be discontinuing magnesium sulfate because the patient is exhibiting signs of magnesium toxicity with absent deep tendon reflexes and decreased respiratory rate.

Nursing

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A short, nonsmoking 44-year-old male presents to the emergency room with left-sided chest pain and a cough. He states that the pain started abruptly and worsens with deep breathing and coughing

He denies recent injury. Assessment includes shallow respirations with a rate of 36, normal breath sounds, and no cyanosis. Which condition is most likely causing his symptoms? A) Myocardial infarction B) Spontaneous pneumothorax C) Pleuritis related to infection D) Obstructive atelectasis

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A patient with hemophilia has mild pain after a dental procedure. Which analgesic would be the most appropriate to administer?

a. Any NSAID b. Aspirin c. Acetaminophen d. Morphine

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A nurse is caring for a postpartum client with a urinary tract infection. Which instruction would the nurse include in the teaching plan for the client to help prevent future infections?

A) Empty the bladder frequently. B) Wear elastic compression stockings. C) Avoid foods that are salty. D) Apply ice to the infected area.

Nursing

Write the metric measure using official abbreviations and notation rules: seventeen grams __________

Fill in the blank(s) with correct word

Nursing