Author Question: Which assessment finding would convince the nurse to hold the next dose of magnesium sulfate? a. ... (Read 35 times)

kaid0807 · **on:** Jun 27, 2018

Which assessment finding would convince the nurse to hold the next dose of magnesium sulfate?

a. Absence of deep tendon reflexes
b. Urinary output of 100 ml total for the previous 2 hours
c. Respiratory rate of 14 breaths/minute
d. Decrease in blood pressure from 160/100 to 140/85

Question 2

Childbirth preparation can be considered successful if the outcome is described by which of the following?

a. Labor was pain free.
b. The birth experiences of friends and families were ignored.
c. The client rehearsed labor and practiced skills to master her pain.
d. Only nonpharmacologic methods for pain control were used.

nickk12214 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Because absence of deep tendon reflexes is a sign of magnesium toxicity, the next scheduled dose should not be administered. Calcium gluconate is the antidote that should be administered. An hourly output of less than 30 ml could indicate toxicity. A respiratory rate of less than 12 breaths/minute could indicate toxicity. A decrease in blood pressure is an expected side effect of magnesium sulfate.

Answer to Question 2

C
Childbirth preparation does not guarantee a pain-free labor. A woman should be prepared for pain and anesthesia/analgesia realistically. Friends and family members can be an important source of support if they convey realistic information about labor pain. Preparation allows the woman to rehearse for labor and to learn new skills to cope with the pain of labor and the expected behavioral changes. Women will not always achieve their desired level of pain control using nonpharmacologic methods alone.