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Questions 149

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Question 1 of 5

The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

Correct Answer: C

Rationale: Inserting a Foley catheter allows monitoring of urinary output, which is critical to detect magnesium toxicity, as decreased output is a sign of toxicity.

Question 2 of 5

Which observation would the nurse expect to make after an amniotomy?

Correct Answer: B

Rationale: Clear amniotic fluid is expected after an amniotomy, indicating no complications like meconium or bleeding.

Question 3 of 5

The nurse is caring for a client with a Brown-Sequard spinal cord injury. The nurse should expect the client to have:

Correct Answer: D

Rationale: Brown-Sequard syndrome causes loss of sensation contralateral to the injury and motor loss ipsilateral to the injury.

Question 4 of 5

A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?

Correct Answer: D

Rationale: Tetracycline can reduce the efficacy of oral contraceptives, necessitating backup contraception.

Question 5 of 5

The nurse is monitoring a client following postoperative cardiac catheterization and is checking the client's oxygen saturation (SPO2) per pulse oximetry. The nurse recognizes that the SPO2 should be maintained above what percentage in most clients to ensure adequate oxygenation? Record your answer using a whole number.

Correct Answer: 92

Rationale: SPO2 should be maintained above 92% in most clients to ensure adequate oxygenation, especially post-procedure.

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