The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? 1. Flushing. Depressed respirations, Extreme muscle weakness 2. Hypertension, Extreme muscle weakness, Increased urine output 3. Hyperactive deep tendon reflexes, Depressed respirations, Hypertension 1. Flushing, Hypertension, Tachypnea 6. A prim gravida in active labor is about 9 days’ post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client, which of the following locations identified by the client as the area of relief would indicate to the 1. Back 2. Abdomen 3. Fundus 4. Perineum 5-Vagina 7. The nurse is caring for a postpartum client with a diagnosis of thrombophlebitis. The client 2. Fundal height 3. Presence of calf pain 4. Level of consciousness (LOC).
The nurse should monitor the client in preterm labor receiving intravenous magnesium sulfate for the following adverse effects: Depressed respirations: Magnesium sulfate can lead to respiratory depression in high doses, and the nurse should monitor the client’s respiratory rate and depth regularly. Extreme muscle weakness: Magnesium sulfate can cause muscle weakness, and the nurse should assess the client’s muscle tone and strength. Hyperactive deep tendon reflexes: Magnesium sulfate can cause a decrease in deep tendon reflexes, and the nurse should monitor for hyperactive deep tendon reflexes as an indicator of toxicity. Therefore, the correct answer is option 2, which includes extreme muscle weakness and depressed respirations as adverse effects of magnesium sulfate. Additionally, hypertension and increased urine output are not typically associated with magnesium sulfate administration.
If a primigravida in active labor is about 9 days post-term and desires a bilateral pudendal block anesthesia, the area of relief that would indicate understanding of the procedure would be the perineum. A pudendal block anesthesia is a regional anesthetic that is administered to relieve the pain of labor and delivery by blocking the pudendal nerve, which provides sensation to the perineum. Therefore, option 4, perineum, is the correct answer. The other options (back, abdomen, fundus, and ) are not typically associated with relief from pudendal block anesthesia.
The nurse is caring for a postpartum client with a diagnosis of thrombophlebitis. The nurse should monitor the client for signs of complications, including pulmonary embolism, which is a potential complication of thrombophlebitis. The signs and symptoms of pulmonary embolism include: Sudden onset of shortness of breath Chest pain Rapid heart rate Coughing up blood Feeling lightheaded or fainting In addition to these signs, the nurse should also monitor the client’s: Vital signs, including heart rate, blood pressure, and respiratory rate Fundal height, which can indicate postpartum hemorrhage Presence of calf pain, which can indicate deep vein thrombosis (DVT) Level of consciousness (LOC), which can indicate changes in cerebral perfusion Therefore, the correct answer is option 3, presence of calf pain, as this can indicate the development of DVT, which is a complication of thrombophlebitis. However, the other options are also important to monitor in the postpartum period to ensure the client’s safety and well-being. Signs and Symptoms of Pulmonary Embolism Essay Paper