While assessing a client with PIH on magnesium sulfate, the nurse ...

[V@ndy87]

While assessing a client with PIH on magnesium sulfate, the nurse finds that her output for the last hour was 30 mL, her respiratory rate is 20 per minute, her blood pressure is 150/94, and her deep tendon reflexes are absent.
 
  The nurse's next response would be to a. chart her findings c. decrease the magnesium sulfate
  b. check for clonus d. notify the physician

Question 2

A baby in the nursery is 18 hours old. Which piece of information would be most essential to pass on to the next shift?
 
  a. Infant has milky discharge from the nipples.
  b. Infant has not voided.
  c. Infant has polydactyly on each hand.
  d. Testes are descended on only one side.

[courtney_bruh]

Answer to Question 1

D
The information is an indication of magnesium sulfate toxicity that should be reported to the health care provider. Charting the findings is an important intervention, but it is not the priority action. Checking for clonus is not an appropriate action at this time. Decreasing the magnesium sulfate is not a nursing intervention without health care provider prescription.

Answer to Question 2

B
The nurse should report the fact that the neonate has not voided. The neonate should void by 12 hours after birth. While it is appropriate to pass on information regarding the milky discharge from nipples, polydactyly on each hand, and undescended testes; this information is not the most essential to note.

[V@ndy87]

Correct answers!

[courtney_bruh]

Great! Please up vote