Author Question: What should the nurse recognize as evidence that the client is recovering from preeclampsia? a. ... (Read 40 times)

wenmo · **on:** Jun 28, 2018

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 · **Reply #1 on:** Jun 28, 2018

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.