In evaluating the effectiveness of magnesium sulfate for treatment of preterm labor, which of the following findings would alert the nurse to possible side effects?
1. Urine output of 160 ml in 4 hours
2. Deep tendon reflexes 2+ and no clonus
3. Respiratory rate of 16 breaths per minute
4. Serum magnesium level of 10 mEq/L
4
1. Incorrect. This is a normal finding.
2. Incorrect. This is a normal finding.
3. Incorrect. This is a normal finding.
4. Correct. The therapeutic range for magnesium sulfate management is 4 to 7.5 mEq/L. A serum magnesium level of 10 mEq/L could lead to signs and symptoms of magnesium toxic-ity including oliguria and respiratory distress.
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The nurse administers synthetic erythropoietin for what therapeutic effect?
1. Stimulate the production of platelets. 2. Stimulate the production of white blood cels. 3. Stimulate the production of lymph fluid. 4. Stimulate the production of red blood cells.
A nurse on a medical unit is conducting a spiritual assessment of a patient who is newly admitted. In the course of this assessment, the patient indicates that she does not eat meat
Which of the following is the most likely significance of this patient's statement? A) The patient does not understand the principles of nutrition. B) This is an aspect of the patient's religious practice. C) This constitutes a nursing diagnosis of Risk for Imbalanced Nutrition. D) This is an example of the patient's coping strategies.
An organization has encountered a serious patient safety event that was reported to the state, The Joint Commission, and the Centers for Medicare & Medicaid Services (CMS)
An extensive plan of correction was received, and the organization had to make some immediate changes in practice. Additionally the organization anticipates a costly lawsuit. What is the best method of educating staff about the practice changes that were issued? a. "These changes need to be made because the state and CMS require it." b. "We understand this is a knee-jerk reac-tion, but please change the practice while the surveyors are in the building." c. "We need to make this change because it will help our lawsuit." d. "This change is being made so that there is no further harm to another patient."
Learner A is concerned about the clinical evaluation component of the nursing program. A peer could help alleviate anxiety by explaining that the purpose of clinical evaluation is to
a. assist the learner to identify strengths and areas needing improvement. b. provide constructive criticism related to poor performance behaviors. c. keep unsuitable persons from achieving licensure. d. help learners develop the ability to listen to negative comments about performance.