The client has preeclampsia and might require magnesium sulfate therapy. Which of the following is a critical assessment parameter by the nurse?
1. Fetal heart sounds
2. Deep tendon reflexes
3. Peripheral edema
4. Breath sounds
Correct Answer: 2
Rationale 1: Fetal heart sounds, although always important, are not the critical assessment in this situation.
Rationale 2: A decrease in deep tendon reflexes indicates that the client has a low magnesium level. This puts the client at risk for seizures related to preeclampsia.
Rationale 3: Peripheral edema is not a critical assessment in this situation.
Rationale 4: Breath sounds, although always important, are not the critical assessment in this situation.
You might also like to view...
According to The Joint Commission's Official "Do Not Use" List of Medical Abbreviations, why should the Registered Nurse not write a trailing zero on a medication dose?
What will be an ideal response?
An older male adult in a cardiac rehabilitation exercise class refuses to participate in the cool-down phase of the activity, and 2 minutes later, he passes out but regains conscious-ness quickly
Which of the following instructions does the nurse include in patient teach-ing to reinforce the importance of cooling down after exercise to this man? a. Cardiac output diminishes with age. b. Mobility capacity decreases with age. c. Baroreceptor function diminishes with age. d. Sensory perception diminishes with age.
A client has a small, shallow wound with a red base that does not require debridement. The dressing the nurse would choose when covering this wound is a
a. dry woven gauze fastened with adhesive tape. b. non-adhering dressing with antibiotic ointment. c. wet nonwoven gauze. d. wet-to-dry gauze dressing.
A committee has been developed to implement knowledge transformation when providing client care. The members realize that the purpose of knowledge transformation is to:
1. reduce length of stay. 2. convert research findings to impact health outcomes. 3. reduce the cost of care. 4. increase the number of patients with health insurance.