A client with preeclampsia is receiving magnesium sulfate. The ...

[jrubin]

A client with preeclampsia is receiving magnesium sulfate. The nurse assesses the client closely for which sign of magnesium toxicity?
 
  1. Proteinuria
  2. Hyperactive deep tendon reflexes
  3. Respiratory rate of 10 breaths/min
  4. Serum magnesium level of 5 mEq/L

Question 2

The nurse is caring for a child with a fracture who is placed in skeletal traction. The nurse monitors for the most serious complication associated with this type of traction by assessing for a(n):
 
  1. Lack of appetite
  2. Elevated temperature
  3. Decrease in the urinary output
  4. Increase in the blood pressure

[hugthug12]

Answer to Question 1

3

Rationale: Magnesium toxicity is a risk associated with magnesium sulfate therapy. Signs of magnesium toxicity relate to central nervous system (CNS) depression and include respiratory depression, loss of deep tendon reflexes, and sudden drop in fetal heart rate and/or maternal heart rate and blood pressure. Magnesium is excreted through the kidneys. If renal impairment is present, magnesium toxicity can develop very quickly. Therapeutic serum levels of magnesium are 4 to 7 mEq/L.

Answer to Question 2

2

Rationale: The most serious complication associated with skeletal traction is osteomyelitis, an infection involving the bone. Organisms gain access to the bone systemically or through the opening created by the metal pins or wires used with the traction. Osteomyelitis may occur with any open fracture. Clinical manifestations include complaints of localized pain, swelling, warmth, tenderness, an unusual odor from the fracture site, and an elevated temperature. A lack of appetite, a decrease in the urinary output, and an increase in the blood pressure are not specifically associated with osteomyelitis.

[jrubin]

TYSM

[tkempin]

Excellent