Which of the following assessments in a client diagnosed with pregnancy-induced hypertension who is taking magnesium sulfate would indicate a therapeutic level of medication?
a. Urinary output of 20 ml/hr
b. Normal deep tendon reflexes
c. Respiratory rate of 10 to 12 breaths/minute
d. Drowsiness
B
Magnesium sulfate is administered for pregnancy-induced hypertension to reduce the risk of seizures from cerebral irritability. Hyperreflexia (deep tendon reflexes above normal) is a symptom of cerebral irritability. If dosage of magnesium sulfate is effective, reflexes should decrease to normal or slightly below normal levels.
You might also like to view...
A school-age child was instructed on transfer techniques after having spinal surgery. For which outcome should the nurse assess when making a home visit to this patient?
A) Patient transfers from bed to a chair unassisted. B) Patient stands up and walks to a chair with parental assistance. C) Patient transfers from the bed to a chair with one person assisting. D) Patient unable to move from the bed to a chair without assistance.
A client admitted with respiratory difficulty and decreased oxygen saturation keeps pulling off the oxygen mask. What action does the nurse take?
a. Stays with the client and replaces the oxygen mask b. Asks the client's spouse to hold the oxy-gen mask in place c. Restrains the client per facility policy d. Contacts the health care provider and re-quests sedation
A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
a. Schedule a sweat chloride test. b. Arrange for a hospice nurse visit. c. Place the patient on a low-sodium diet. d. Perform chest physiotherapy every 4 hours.
A family is considering nursing home placement for their elderly parent. Which of the following interventions would be most appropriate for a nurse?
a. Suggesting the purchase of a nursing home insurance policy b. Suggesting the use of a specific checklist to collect data about potential facilities c. Suggesting having a family service worker to help with placement d. Suggesting consideration of using more in-home services