Bissoy.com
Doctors Medicines MCQs Q&A

A client is receiving magnesium sulfate therapy for severe preeclampsia. What initial sign of toxicity should alert the nurse to intervene?

A client is receiving magnesium sulfate therapy for severe preeclampsia. What initial sign of toxicity should alert the nurse to intervene? Correct Answer Lack of knee jerk reflex

Concept:-

  • The most common side effects of Magnesium Sulphate are
  1. flushing (warmth, redness, or tingly feeling); weak or shallow breathing
  2. extreme drowsiness
  3. feeling very weak; or. numbness or tingly feeling around your mouth,
  4. muscle tightness or contraction,
  5. overactive reflexes.​

Additional Information

  • Preeclampsia, formerly called toxemia, is when pregnant women have high blood pressure, protein in their urine, and swelling in their legs, feet, and hands. It can range from mild to severe. It usually happens late in pregnancy, though it can come earlier or just after delivery.

Treatment of Preeclampsia

  • Magnesium sulfate (MgSO4) is the agent most commonly used for the treatment of eclampsia and prophylaxis of eclampsia in patients with severe pre-eclampsia. It is usually given by either the intramuscular or intravenous routes.
  • The intramuscular regimen is most commonly a 4 g intravenous loading dose, immediately followed by 10 g intramuscularly and then by 5 g intramuscularly every 4 hours in alternating buttocks.
  • The intravenous regimen is given as a 4 g dose, followed by a maintenance infusion of 1 to 2 g/h by a controlled infusion pump
  • If the pregnancy is at 37 weeks or later, the healthcare provider will usually want to deliver the fetus to treat preeclampsia and avoid further complications.
  • If the pregnancy is at less than 37 weeks, however, the woman and her healthcare provider may consider treatment options that give the fetus more time to develop, depending on how severe the condition is. A healthcare provider may consider the following options:
  • Close monitoring of the woman and her fetus will be needed. Tests for the mother might include blood and urine tests to see if the preeclampsia is progressing, such as tests to assess platelet counts, liver enzymes, kidney function, and urinary protein levels. Tests for the fetus might include ultrasound, heart rate monitoring, assessment of fetal growth, and amniotic fluid assessment.

Related Questions

A client is receiving MgSo4 therapy for server preeclampsia. The nurse must be alert for which of the following sign of excessive blood magnesium level:
Nurse Kemp has worked more night shifts in a row than Nurse Rogers, who has worked five. Nurse Miller has worked fifteen night shifts in a row, more than Nurses Kemp and Rogers combined. Nurse Calvin has worked eight night shifts in a row, less than Nurse Kemp. How many night shifts in a row has Nurse Kemp worked?
Nurse Kemp has worked more night shifts in a row than Nurse Rogers, who has worked five. Nurse Miller has worked fifteen night shifts in a row, more than Nurses Kemp and Rogers combined and a total 29 nights shift has worked by miller. Nurse Calvin has worked eight night shifts in a row, less than Nurse Kemp. How many night shifts in a row has Nurse Kemp worked?
Which of the following statements about gene therapy are correct?
P. Affected individuals, but not their progeny, can be cured through germline gene therapy.
Q. Affected individuals, as well as their progeny, can be cured through germline gene therapy.
R. Affected individuals, but not their progeny, can be cured through somatic gene therapy.
S. Affected individuals, as well as their progeny, can be cured through somatic gene therapy.
An alloy of zinc, magnesium, and copper contains 80% of copper, 15% of zinc, and 5% of magnesium. The second alloy of copper and magnesium only is melted with the first and the mixture contains 75% of copper, 5% of zinc and 20% of magnesium. What is the percentage of magnesium in the second alloy?
A nurse in a long-term health care setting is assigned to introduce a client who has a Ph.D. to the other clients. The client tells the nurse, “I wish to be called Doctor.” How should the nurse respond?
Sixteen-year-old primigravid patient admitted with severe pregnancy-induced hypertension is given intravenous magnesium sulfate. The nurse should obtain which one of the following information?
Chondroitin sulfate, dermatan sulfate, heparin sulfate are examples of _______________
The nurse is caring for a male client with a diagnosis of chronic gastritis. The nurse monitors the client knowing that this client is at risk for which vitamin deficiency?
A nurse is caring for a client having suicidal thoughts. So, a nurse should alert for the feeling of: