More Questions on this Topic
More Questions on this Topic ( 35 Questions)
A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client who has eclampsia.
Which of the following outcomes indicates that the therapy is successful?
Magnesium sulfate therapy is used to prevent seizures in women with preeclampsia and eclampsia. Seizures are a life-threatening complication of eclampsia and indicate a failure of therapy.
Fiuresis is not a goal of magnesium sulfate therapy. Diuresis may indicate fluid overload or renal impairment, which are complications of preeclampsia and eclampsia.
Improved fetal movement is not a direct outcome of magnesium sulfate therapy. Fetal movement may be affected by many factors, such as gestational age, maternal position, and fetal well-being.
Increased platelet count is not a result of magnesium sulfate therapy. Platelet count may be decreased in preeclampsia and eclampsia due to disseminated intravascular coagulation, which is a serious complication that requires prompt treatment.
The client has no seizures. Magnesium sulfate therapy is used to prevent seizures in women with preeclampsia and eclampsia. Seizures are a life-threatening complication of eclampsia and indicate a failure of therapy.
Choice B is wrong because diuresis is not a goal of magnesium sulfate therapy. Diuresis may indicate fluid overload or renal impairment, which are complications of preeclampsia and eclampsia.
Choice C is wrong because improved fetal movement is not a direct outcome of magnesium sulfate therapy. Fetal movement may be affected by many factors, such as gestational age, maternal position, and fetal well-being.
Choice D is wrong because increased platelet count is not a result of magnesium sulfate therapy. Platelet count may be decreased in preeclampsia and eclampsia due to disseminated intravascular coagulation, which is a serious complication that requires prompt treatment.
Normal ranges for blood pressure are less than 140/90 mm Hg, for proteinuria are less than 300 mg/24 hours, for platelet count are 150,000 to 400,000/mm3, and for serum magnesium are 1.5 to 2.5 mEq/L.