When assessing a pregnant patient with eclampsia who is receiving IV magnesium sulfate, which finding should the nurse report to the health care provider immediately?
a. The bibasilar breath sounds are decreased.
b. The patellar and triceps reflexes are absent.
c. The patient has been sleeping most of the day.
d. The patient reports feeling "sick to my stomach."
ANS: B
The loss of the deep tendon reflexes indicates that the patient's magnesium level may be reaching toxic levels. Nausea and lethargy also are side effects associated with magnesium elevation and should be reported, but they are not as significant as the loss of deep tendon reflexes. The decreased breath sounds suggest that the patient needs to cough and deep breathe to prevent atelectasis.
You might also like to view...
When a patient comes to an outpatient appointment, a nurse smells alcohol. The nurse should:
a. explore the patient's reasons for drinking today. b. arrange admission to an inpatient psychiatric unit. c. coordinate emergency admission to a detoxification unit. d. tell the patient, "We cannot see you today because you have been drinking.".
After teaching a group of students about sedatives and hypnotics, the instructor determines that the teaching was successful when the students identify which of the following as an example of a benzodiazepine-type hypnotic and sedative drug?
Select all that apply. A) Temazepam B) Eszopiclone C) Secobarbital D) Triazolam E) Zaleplon
Effectiveness research:
a. is the study of relationships among health care problems. b. provides solutions to serious global health care issues. c. reflects sound, reliable, and valid data that can be examined closely. d. supplies data that are critical and worthy of gathering.
The nurse caring for a client with symptomlogy suggestive of myositis shows an understanding of the disease when providing the client with information concerning appropriate diagnostic testing that includes: Select all that apply
1. Serum creatine kinase. 2. Electrogram. 3. Magnetic resonance (MI). 4. Echocardiograms. 5. Synovial fluid culture.