A woman with severe gestational hypertension is receiving a continuous intravenous infusion of magnesium sulfate. Which assessment finding would indicate the need for further intervention?
a. Respiratory rate of 18/minute
b. Absent deep tendon reflexes
c. Urinary output of 60 mL/hour
d. Blood pressure of 132/84 mm Hg
ANS: B
Absent deep tendon reflexes is a symptom of magnesium sulfate toxicity. The other findings are within normal limits. Symptoms of magnesium sulfate toxicity require immediate discontinuation of the drug and administration of the antidote. Respiratory ventilation support may be needed until the central nervous system depressant effects of the drug wear off.
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ANS:
A client who is 16 weeks pregnant states, "I thought the most dangerous time is the first 3 months, so I shouldn't have to worry from now on about any dangers to the baby." An appropriate response by the nurse would be,
a. "There are teratogens that may affect your baby during any stage of development." b. "We really won't be able to say for sure before you have an ultrasound." c. "You don't seem very concerned about your baby's welfare." d. "You're right. You are past the critical point."
The nurse is caring for a client on a hospice unit who has been diagnosed with terminal cancer. The plan of care might include the use of which complementary therapies to help reduce the client's cancer pain? (Select all that apply.)
a. relaxation d. yoga b. imagery e. healing touch c. movement and exer-cise f. biofeedback
Which of the following is the primary carbohydrate in the breastfeeding newborn?
1. Glucose 2. Fructose 3. Lactose 4. Maltose