Author Question: A client is receiving an infusion of magnesium sulfate. The health care provider should be notified ... (Read 63 times)

jlmhmf · **on:** Jul 23, 2018

A client is receiving an infusion of magnesium sulfate. The health care provider should be notified immediately if which response is observed?

1. A pulse rate of 99 beats per minute
2. A blood pressure of 90/60
3. Pain at the IV site
4. A respiratory rate of 9 breaths per minute

Question 2

A nurse is scheduled to administer a potassium supplement to a client. Which action should the nurse take prior to administering the drug?

1. Check the client's potassium level from the morning labs.
2. Tell the client that the infusion will burn.
3. Place the client in a low Fowler's position.
4. Ask the client why the medication is ordered.

essyface1 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: A pulse rate of 99 beats per minute is within normal limits.
Rationale 2: Blood pressure of 90/60 is considered to be within normal limits.
Rationale 3: Pain at the IV site does not need to be immediately reported to the health care provider.
Rationale 4: A respiratory rate below 12 should be reported to the health care provider immediately. This can indicate magnesium toxicity.
Global Rationale: A respiratory rate below 12 should be reported to the health care provider immediately. This can indicate magnesium toxicity. A pulse rate of 99 beats per minute and a blood pressure of 90/60 are within normal limits. Pain at the IV site does not need to be immediately reported to the health care provider.

Answer to Question 2

Correct Answer: 1
Rationale 1: Serial serum potassium levels should be monitored before and during therapy.
Rationale 2: The client should report pain at the IV site.
Rationale 3: The client should be in an upright or standing position to avoid esophagitis.
Rationale 4: Prior to assessing the client's knowledge level about the drug, the nurse should be sure it is an appropriate medication to administer.
Global Rationale: Serial serum potassium levels should be monitored before and during therapy. The client should report pain at the IV site. The client should be in an upright or standing position to avoid esophagitis. Prior to assessing the client's knowledge level about the drug, the nurse should be sure it is an appropriate medication to administer.