In evaluating the effectiveness of magnesium sulfate for the treatment of preterm labor, which finding alerts the nurse to possible side effects?
a. Urine output of 160 ml in 4 hours
b. DTRs 2+ and no clonus
c. Respiratory rate (RR) of 16 breaths per minute
d. Serum magnesium level of 10 mg/dl
Answer: d. Serum magnesium level of 10 mg/dl
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A child is brought to the emergency department with moderate respiratory distress. She has an oxygen saturation of 89% but is awake, alert, and responsive, and is clinging to the mother
The nurse is consulting about appropriate oxygen delivery devices and expresses concern about the patient retaining CO2. Which oxygen delivery device is the most appropriate for this child? A. Facial CPAP B. Nasal cannula C. Oxygen tent D. Venturi mask
As a mental health nurse, you know that when a person feels insulted, mental images of resentment and animosity may be formed. These images generate what?
A) The need to fight back B) The need to change their behavior C) The need to project blame onto the other person D) The need to manipulate the situation
The client taking an expectorant is consuming 3000 mL of fluid per day. The nurse should:
a. commend the client for increasing fluids. b. do nothing, as the client should increase fluid intake when taking expectorants. c. monitor the client for manifestations of dehydration d. assess the client vital signs and breath sounds
The mother of an adolescent is concerned because the child's behavior has changed since getting a laptop as a birthday gift. What should the nurse suggest the mother observe to determine if the child is at risk while being online? (Select all that apply.)
A) Spends large amounts of time online at night B) Turns computer off when parent enters the room C) Wants to wash own clothes and change the bed linen D) Receives phone calls from adults not known to the family E) Makes long-distance calls to numbers that are not recognized