A nurse is caring for a client who is receiving intravenous (IV) magnesium sulfate (MgSO4). Which assessment parameter is critical?
A. 24-hour urine output
B. Asking the client about feeling depressed
C. Hourly deep tendon reflexes (DTRs)
D. Monitoring of serum calcium levels
Ans: C. Hourly deep tendon reflexes (DTRs)
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Which of the following is not a common transition for an older adult?
a. Family role changes b. Marriage c. Job changes and retirement d. Health changes
A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions?
a. Hyperalimentation b. IV fluids and electrolyte replacement c. Hormone replacement therapy d. Vitamin supplements
The nurse must administer eardrops to an infant. How should she proceed?
1) Pull the pinna down and back before instilling the drops. 2) Pull the pinna upward and outward before instilling the drops. 3) Instill the drops directly; no special positioning is necessary. 4) Position the patient supine with the head of the bed elevated 30°.
A nurse is planning care for a patient that uses displacement. Which information should the nurse consider when planning interventions?
a. This copes with stress directly. b. This evaluates an event for its personal meaning. c. This protects against feelings of worthlessness and anxiety. d. This triggers the stress control functions of the medulla oblongata.