Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
Item 1 of 1ÔÇó NursesÔÇÖ Notes
1800 ÔÇô A 17-year-old nulliparous client at 37-gestational weeks was admitted to the antepartum unit. The client reports a frontal headache of 8/10, photophobia, and epigastric pain. Magnesium sulfate loading dose and continuous infusion initiated as prescribed.
ÔÇó Vital Signs
Oral temperature 97┬░ F (36┬░ C); Pulse 88 bpm; Respirations 19; BP 163/113 mm Hg; Oxygen saturation 96% on room air.
The nurse is caring for a client with severe preeclampsia receiving an infusion of magnesium sulfate.For each type of assessment, click to specify whether or not the assessment is indicated or not indicated for the magnesium sulfate infusion.
Rationale
Clinical features of severe preeclampsia include significant hypertension, hyperreflexia, frontal headache, visual disturbances, thrombocytopenia, oliguria, increased creatinine, and epigastric pain.
The blood pressure is much higher in severe preeclampsia, and the client experiences alterations in clotting and renal function.
The treatment of choice for severe preeclampsia is a loading dose of magnesium sulfate followed by a continuous infusion.
The blood pressure is much higher in severe preeclampsia, and the client experiences alterations in clotting and renal function.
The treatment of choice for severe preeclampsia is a loading dose of magnesium sulfate followed by a continuous infusion.