A client receiving prescribed magnesium sulfate shows signs of dyspnea, tachycardia, and increased respiratory rate and rales. The nurse notices frothy sputum. Which of the following conditions should the nurse suspect?
A) Pulmonary edema
B) Water intoxication
C) Renal failure
D) Cardiac arrest
Ans: A
Feedback:
The client is most likely experiencing pulmonary edema. If there is an increase in respiratory rate of more than 20 respirations/min with the administration of magnesium sulfate, the nurse should assess the respiratory status for symptoms of pulmonary edema such as dyspnea, tachycardia, rales, and frothy sputum. In such cases, the primary health care provider is notified immediately because use of the drug may be discontinued or the dosage may be decreased. The danger of water intoxication is associated with oxytocin as it has an antidiuretic effect, and not with magnesium sulfate. Renal failure and cardiac arrest are not associated with magnesium sulfate.
You might also like to view...
A nurse is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is
A) whether the pregnant woman uses illegal substances. B) whether the pregnant woman has health insurance. C) the pregnant woman's exercise habits. D) the pregnant woman's dietary habits.
The nurse is caring for a patient who has painful memories of a previous sexual assault. How will the nurse best display the therapeutic use of self when caring for this patient?
1. Providing the patient personal information. 2. Engaging in a caring conversation with the patient. 3. Providing the patient information on therapy choices. 4. Encouraging the patient to confront his or her feelings.
The patient is prescribed to receive intravenous potassium chloride (KCL). Which actions should the nurse take when administering this medication?
Select all that apply. 1. Administer the dose IV push over 3 minutes. 2. Monitor the injection site for redness. 3. Add the ordered dose to the IV hanging. 4. Use an infusion controller for the IV. 5. Monitor fluid intake and output.
The nurse is caring for a patient with syphilis. In which order should the nurse explain the disease process to the patient?
Choice 1. appearance of a chancre and regional enlargement of lymph nodes Choice 2. localized development of gummas Choice 3. asymptomatic period Choice 4. skin rash on palms and feet