A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?
A) Respiratory rate of 16 breaths per minute
B) Diminished deep tendon reflexes
C) Urine output of 45 mL/hour
D) Alert level of consciousness
B
Feedback:
Diminished deep tendon reflexes suggest magnesium toxicity, which requires immediate intervention. Additional signs of magnesium toxicity include a respiratory rate less than 12 breaths/minute, urine output less than 30 mL/hour, and a decreased level of consciousness.
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The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?
a. EBP relies on tradition for support of best practices. b. EBP is simply the use of best practice techniques for the treatment of patients. c. EBP emphasizes the use of best evidence with the clinician's experience. d. The patient's own preferences are not important with EBP.
The nurse is caring for a patient with right ventricular hypertrophy and consequently decreased right ventricular function. What valvular disorder may have contributed to this patient's diagnosis?
A) Mitral valve regurgitation B) Aortic stenosis C) Aortic regurgitation D) Mitral valve stenosis
A community health nurse is preparing a presentation for a group of local community nurses about measures to decrease health disparities. Which of the following would be the least effective suggestion?
A) Avoiding political involvement in issues B) Working with schools to reduce the dropout rate C) Organizing task forces to raise community awareness D) Holding community meetings to identify needs
The nurse is caring for an older patient recovering from a total hip replacement. Which intervention will prevent dislocation of the hip prosthesis?
1. Encourage early ambulation. 2. Provide pain medication as needed. 3. Apply intermittent compression devices. 4. Place a wedge between the legs to keep the hip in abduction.