A patient is receiving magnesium sulfate for severe preeclampsia. The nurse must notify the attending physician immediately of which of the following findings?
a. Patellar and biceps reflexes of +4
b. Urinary output of 50 mL/hr
c. Respiratory rate of 10 rpm
d. Serum magnesium level of 5 mg/dL
ANS: c
Feedback
a. Magnesium sulfate has been ordered because the patient has severe pregnancy-induced hypertension. Patellar and biceps reflexes of +4 are symptoms of the disease.
b. The urinary output must be above 25 mL/hr.
c. The drop in respiratory rate may indicate that the patient is suffering from magnesium toxicity. The nurse should report the finding to the physician.
d. The therapeutic range of magnesium is 4 to 7 mg/dL.
You might also like to view...
Synergy has been defined as a characteristic of great teams and teamwork. Which of the following statements is not correct about synergy and the application of synergy in health care?
a. "The bonus that is achieved when things work together harmoniously." b. The whole is greater than its parts. c. The Synergy Model of Professional Caring and Ethics was developed by the American Association of Critical Care Nurses. d. The synergy model matches the characteristics of the nurse, clinical unit or system with the patient's ability to achieve identified outcomes.
A patient explains a lack of interest in sex since her spouse passed away 3 years ago. After completing the health history what would the nurse suspect as contributing to the patient's lack of interest in sex?
A) Prescribed antidepressants for sadness B) Change in the patient's Medicare benefits C) Participating in arthritis swimming classes D) Reduced intake of red meat and carbohydrates
When the nurse diagnoses that a client is experiencing panic-level anxiety, an intervention that
should be immediately implemented is to a. teach relaxation techniques. b. administer anxiolytic medication. c. provide calm, brief, directive communication. d. gather a show of force in preparation for physical control.
Which is the best example of a measurable outcome for a patient with deficient fluid volume?
a. Fluids will be at the bedside for the patient. b. Fluids the patient likes will be at the bedside. c. Patient's intake will be 3,000 mL daily. d. Patient's intake will be measured daily.