In evaluating the effectiveness of magnesium sulfate for ...

[EY67]

In evaluating the effectiveness of magnesium sulfate for treatment of preterm labor, which of the following findings would alert the nurse to possible side effects?
 
  1. Urine output of 160 ml in 4 hours
  2. Deep tendon reflexes 2+ and no clonus
  3. Respiratory rate of 16 breaths per minute
  4. Serum magnesium level of 10 mEq/L

Question 2

The nurse providing care for a woman with preterm labor on terbutaline would include which of the following interventions to identify side effects of the drug?
 
  1. Assess deep tendon reflexes
  2. Assess for dyspnea and crackles
  3. Assess for bradycardia
  4. Assess for hypoglycemia

[Eunice618]

Answer to Question 1

4
1. Incorrect. This is a normal finding.
2. Incorrect. This is a normal finding.
3. Incorrect. This is a normal finding.
4. Correct. The therapeutic range for magnesium sulfate management is 4 to 7.5 mEq/L. A serum magnesium level of 10 mEq/L could lead to signs and symptoms of magnesium toxic-ity including oliguria and respiratory distress.

Answer to Question 2

2
1. Incorrect. Terbutaline is a beta2-adrenergic agonist that affects the cardiopulmonary and metabolic systems of the mother. Assessing DTRs would not address these concerns.
2. Correct. Terbutaline is a beta2-adrenergic agonist that affects the cardiopulmonary and metabolic systems of the mother. Signs of cardiopulmonary decompensation include adventi-tious breath sounds and dyspnea.
3. Incorrect. Terbutaline is a beta2-adrenergic agonist that affects the cardiopulmonary and metabolic systems of the mother. Beta2-adrenergic agonist drugs will cause tachycardia, not bradycardia.
4. Incorrect. Terbutaline is a beta2-adrenergic agonist that affects the cardiopulmonary and metabolic systems of the mother. The metabolic effect leads to hyperglycemia, not hypogly-cemia.

[EY67]

Excellent

[Chelseyj.hasty]

TYSM