In evaluating the effectiveness of magnesium sulfate for the treatment of preterm labor, what finding would alert the nurse to possible side effects?
a. Urine output of 160 ml in 4 hours
b. Deep tendon reflexes 2+ and no clonus
c. Respiratory rate of 16 breaths/min
d. Serum magnesium level of 10 mg/dl
D
Feedback
A Urine output of 160 ml in 4 hours is a normal finding.
B Deep tendon reflexes of 2+ with no clonus is a normal finding.
C Respiratory rate of 16 breaths/min is a normal finding.
D The therapeutic range for magnesium sulfate management is 5 to 8 mg/dl. A se-rum magnesium level of 10 mg/dl could lead to signs and symptoms of magne-sium toxicity, including oliguria and respiratory distress.
You might also like to view...
Which situation would cause the nurse to suspect a hearing impairment?
a. 3-month-old infant with a positive Moro reflex b. 15-month-old toddler who is babbling c. 18-month-old toddler who is speaking one-syllable words d. 24-month-old toddler who communicates by pointing
The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition. Which of the following would be the best nursing response?
a. "Go for it. Alternative medicine does great things." b. "YIKES! An acupuncturist?" c. "It may help, but there has been no clinical proof of its effectiveness." d. "You should confirm that the acupuncturist is licensed."
To support the nutritional needs of a client recovering from a burn injury, the nurse will prepare to administer which of the following?
1. High carbohydrate diet 2. High fat diet 3. Low protein diet 4. Vitamins C and A supplements
The nurse is preparing to reassess a client admitted for congestive heart failure. Which part of the interview should the nurse use to update the diagnostic cues of the client?
A. Initial. B. Preinteraction. C. Psychosocial. D. Focused.