Which assessment finding should convince the nurse to "hold" the next dose of magnesium sulfate?
a. Absence of deep tendon reflexes
b. Urinary output of 100 mL total for the previous 2 hours
c. Respiratory rate of 14 breaths/min
d. Decrease in blood pressure from 160/100 to 140/85
A
Feedback
A Because absence of deep tendon reflexes is a sign of magnesium toxicity, the
next scheduled dose should not be administered. Calcium gluconate is the
antidote that should be administered.
B An hourly output of less than 30 mL could indicate toxicity.
C A respiratory rate of less than 12 breaths/min could indicate toxicity.
D Decrease in blood pressure is an expected side effect of magnesium sulfate.
You might also like to view...
A nurse works in a gerontology clinic. What age-related changes cause the nurse to alter standard assessment techniques from those used for younger adults? (Select all that apply.)
a. Dentition deteriorates with more cavities. b. Nail beds may be thickened or discolored. c. Progressive loss of hair occurs with age. d. Sclerae begin to turn yellow or pale. e. Skin becomes dry as the client ages.
The professional development courses are offered on every shift so all nurses will have an opportunity to participate. Which is the role of the staff nurse during these courses?
A) Identifying strengths and areas of improvement B) Offering support to one another C) Providing peer feedback D) The ability to trade shifts with one another
The usual eating patterns of toddlers are to:
a. eat a lot in the morning and taper off by night b. vary widely in amount eaten and in foods liked and disliked from day to day c. eat consistently the same amount and type of food day by day d. eat only one preferred food at every meal day after day
The term for an error in which homologous chromosomes fail to separate during meiosis or mitosis is:
a. Aneuploidy b. Nondisjunction c. Polyploidy d. Translocation