The following hourly assessments are obtained by the nurse on a patient with preeclampsia receiving magnesium sulfate:
97.3, P88, R10, blood pressure 148/110. What other priority physical assessment by the nurse should be implemented to assess for potential toxicity?
A) Lung sounds
B) Oxygen saturation
C) Reflexes
D) Magnesium sulfate level
Ans: C
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The nurse is identifying a nursing diagnosis applicable to a specific population. What should the nurse include when making this diagnosis determination? (Select all that apply.)
1. Population at risk. 2. Potential adverse risk. 3. Factors contributing to the risk. 4. Evidence to support the risk. 5. Population competencies.
A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan?
a. Treatment plans include watchful waiting. b. Screening for metastasis will be important. c. Low dose systemic chemotherapy is used to treat BCC. d. Minimizing sun exposure will reduce risk for future BCC.
A patient who has been receiving continuous enteral nutrition has had several large, watery stools. The nurse will contact the provider to discuss which intervention?
a. Administering antidiarrheal medications b. Slowing the rate of infusion c. Starting total parenteral nutrition d. Thickening the nutrition solution
Which organ contains anatomical barriers that limit some drugs from gaining access?
1. Kidney 2. Liver 3. Brain 4. Heart