Practice Question
A nurse is admitting a client who at 37 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse expect to implement? (Select all that apply)
Answer Choices:
Correct Answer:
Administer magnesium sulfate IV
Rationale:
✳️ Magnesium sulfate prevents seizures (eclampsia) by depressing CNS activity.
✳️ Calcium gluconate must be readily available as the antidote to magnesium toxicity.
✳️ Reducing stimuli (dim lights, quiet environment) prevents triggering seizures.
✳️ Neurologic assessments should occur frequently (q1h), not every 8 hours.
✳️ Respiratory assessment is done hourly—4 hours is too infrequent.
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This question is from Custom 2221 Unit 3 Exam 2025LAF which contains 44 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 5