What should the nurse recognize as evidence that the client is ...

[wenmo]

What should the nurse recognize as evidence that the client is recovering from preeclampsia?
 
  a. 1+ protein in urine
  b. 2+ pitting edema in lower extremities
  c. Urine output >100 mL/hr
  d. Deep tendon reflexes +2

Question 2

Which assessment finding suggests that your laboring client's blood magnesium level is too high?
 
  a. Hyperactive reflexes
  b. Absent reflexes
  c. Generalized seizure
  d. Urine output of 60 mL/hr

[vseab]

Answer to Question 1

ANS: C
Rapid reduction of the edema associated with preeclampsia results in urinary output of 4 to 6 L/day as interstitial fluids shift back to the circulatory system. 1+ protein in urine and 2+ pitting edema in lower extremities are signs of continuing preeclampsia. Deep tendon reflexes are not a reliable sign, especially if the client has been treated with magnesium.

Answer to Question 2

ANS: B
Magnesium acts as a central nervous system depressant by blocking neuromuscular transmission. Assessment of the deep tendon reflexes is an indication of the level of CNS depression. Absent reflexes indicates magnesium toxicity; hyperactive reflexes, generalized seizure, and urine output of 60 mL/hr are not symptoms of magnesium toxicity.

[wenmo]

TYSM

[cpetit11]

Excellent