Nokea
A nurse is caring for a client who is receiving magnesium sulfate IV for preeclampsia. Which of the following findings indicates the medication is effective?
- A. Increased blood pressure
- B. Decreased respiratory rate
- C. Increased urine output
- D. Decreased deep tendon reflexes
Correct Answer: C
Rationale: Magnesium sulfate promotes diuresis, so increased urine output indicates effectiveness in managing fluid overload in preeclampsia.
You may also like to solve these questions
A nurse is caring for a client who is postoperative following a TURP. Which of the following findings should the nurse report to the provider?
- A. The client reports a frequent urge to urinate.
- B. The client's urine is pink-tinged.
- C. The client's bladder irrigation fluid is clear.
- D. The client's urine output contains large clots.
Correct Answer: D
Rationale: Large clots in urine suggest hemorrhage, requiring immediate reporting. Urge to urinate, pink-tinged urine, and clear irrigation fluid are expected post-TURP.
A nurse is caring for a client who is receiving IV chemotherapy. Which of the following findings should the nurse report to the provider?
- A. The client reports mild fatigue.
- B. The client's IV site is cool and swollen.
- C. The client's urine output is 200 mL over 4 hr.
- D. The client's temperature is 37.2°C (99°F).
Correct Answer: B
Rationale: A cool, swollen IV site suggests extravasation, a chemotherapy emergency requiring reporting. Fatigue, normal urine output, and mild fever are less urgent.
A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin. Which of the following statements should the nurse include?
- A. You should take this medication in the morning.
- B. You might experience muscle pain while taking this medication.
- C. You need to avoid eating grapefruit while taking this medication.
- D. You should stop taking this medication if you feel dizzy.
Correct Answer: B
Rationale: Atorvastatin can cause myopathy, so muscle pain should be monitored. It's taken at night, grapefruit interaction is minimal, and dizziness doesn't warrant stopping.
A nurse is assisting with the care of a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take to prevent aspiration?
- A. Flush the tube with 30 mL of sterile water every 4 hr.
- B. Place the client in a supine position during feeding.
- C. Check for gastric residual volume every 4 hr.
- D. Keep the head of the bed elevated to at least 30 degrees.
Correct Answer: D
Rationale: Elevating the bed to 30-45 degrees reduces aspiration risk by promoting proper digestion. Flushing maintains patency, supine position increases risk, and residual checks monitor tolerance.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following instructions should the nurse include?
- A. Take this medication every morning.
- B. You might experience a rapid heartbeat.
- C. You need to rinse your mouth after using this medication.
- D. You should use this medication to prevent asthma attacks.
Correct Answer: B
Rationale: Albuterol can cause tachycardia, a side effect to anticipate. It's used as needed, not daily, mouth rinsing is for steroids, and it treats, not prevents, attacks.