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The best response would be to tell the patient that insulin is the drugof choice because it does not cross the placenta and reach the fetus. Hyperglycemia is not associated with low birth weight. Telling the patient's physician is also appropriate; however, the nurse can
offer information that can immediately allay the patient's concern.Question 111 out of 1 pointsA woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations asResponse Feedback:Maternal adverse effects from magnesium sulfate toxicity are sweating, hypotension, flaccid paralysis, hypothermia, and cardiac depression. A serum level of 10 to 12 mg/dL is associated with toxicity (normal levels without infusion of magnesium sulfate are 1.8–3 mg/dL). Common adverse effects include headache, hyporeflexia, weakness, thirst, flushing, and burning at the infusion site. These manifestations do not indicate hypersensitivity or idiosyncratic reactions.Question 121 out of 1 pointsA 73-year-old woman has osteoporosis and is prescribed alendronate. She takes calcium and vitamin D supplements, drinks lots of water, and has just quit smoking. The nurse should advise the patient to alsoResponse Feedback:The patient should be encouraged to exercise and lift light weights as often as she can to increase bone density. It is also important to have adequate amounts of vitamin C in her diet, but it would not be directly related to this therapy. Drinking at least 6 to 8 oz of milk dailyis a good idea, but she is already taking a calcium and vitamin D supplement. There is no identified adverse relationship between artificial sweeteners and alendronate therapy.Question 131 out of 1 pointsA nurse is working in a women's hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following?Response Feedback:The nurse will monitor the patient's blood pressure for possible hypertension. Adverse effects of bethanechol are the same as with pilocarpine, which are hypertension, tachycardia, bronchiolar spasm,pulmonary edema, salivation, sweating, and nausea and vomiting. Bradycardia and decreased salivation are not identified adverse effects. If the drug is taken with a ganglionic blocking agent, a decrease in blood pressure could result.Question 141 out of 1 points
A 20-year-old woman will soon begin taking oral contraceptives for the first time. What advice should the nurse provide to this patient?Response Feedback:An important nursing intervention is teaching about signs and symptoms of potential complications of estrogen and progestin contraceptives. These may include headaches, vision changes or pain in the calves, abdomen or chest and should be reported promptly. The use of oral contraceptives does not preclude future pregnancy. There is not a 10 to 12 week time span between the initiation of oral contraceptives use and the prevention of pregnancy.