Magnesium sulfate was given IV to treat a pregnant woman in premature labor. Which of the following complications will be the highest priority?
A. 3+ pitting edema
B. Positive Chvostek's Sign
C. Hyperreflexia
D. Slow, shallow breathing
Answer: D. Slow, shallow breathing
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The nurse is working with a male client who is approximately the same age as the nurse's father. The client is a substance abuser who has relapsed for the third time this year. The nurse's father is also a substance abuser
The client asks the nurse a question and the nurse "snaps" at him in response. Which of the following characteristics that contribute to a positive outcome of rehabilitation is the nurse having issues with concerning this client? 1. Empathy 2. Autonomy 3. Intuition 4. Patience
A client is scheduled for transsphenoidal microsurgery for removal of a pituitary adenoma. The nurse includes which of the following preoperative instructions?
A) Turn, cough, and deep breathe every 2 hours. B) The client must remain supine in bed, with sandbags alongside her head to prevent movement. C) The client may not use a toothbrush for several days after surgery to prevent injury to the surgical site. D) The client will have to take replacement growth hormone for the rest of her life.
For the client in shock receiving atropine sulfate the nurse must:
a. monitor the pulse every 5 minutes. b. monitor the blood pressure every 15 minutes. c. treat extravasations with phenylephrine. d. insert a Foley catheter for continuous urinary output monitoring.
Critical pathways are designed to indicate:
a. key events that must happen each day in order to achieve an acceptable length of stay b. actions that are acceptable by the health care team and actions that are not acceptable c. the client's responsibilities in working with the health care team d. turning points in which the client is not progressing normally and requires more critical care