Free NCLEX-RN Exam Braindumps (page: 81)

Page 81 of 431

A nurse should carefully monitor a client for the following side effect of MgSO4:

  1. Visual blurring
  2. Tachypnea
  3. Epigastric pain
  4. Respiratory depression

Answer(s): D

Explanation:

(A, C) The nurse should provide good distractors because these symptoms indicate that PIH has become more severe and may precede the convulsive or eclamptic phase. (B) This is the oppositeside effect of this medication. (D) This is a common side effect of this medication and needs to be monitored and recorded
frequently.



A nurse should carefully monitor a client for the following side effect of MgSO4:

  1. Visual blurring
  2. Tachypnea
  3. Epigastric pain
  4. Respiratory depression

Answer(s): D

Explanation:

(A, C) The nurse should provide good distractors because these symptoms indicate that PIH has become more severe and may precede the convulsive or eclamptic phase. (B) This is the oppositeside effect of this medication. (D) This is a common side effect of this medication and needs to be monitored and recorded
frequently.



Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

  1. Limit fluids to 500 mL/day.
  2. Administer 2 hours before meals.
  3. Observe for skin rash and diarrhea.
  4. Monitor blood pressure, pulse.

Answer(s): C

Explanation:

(A) Fluids up to 2500­3000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.



Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

  1. Limit fluids to 500 mL/day.
  2. Administer 2 hours before meals.
  3. Observe for skin rash and diarrhea.
  4. Monitor blood pressure, pulse.

Answer(s): C

Explanation:

(A) Fluids up to 2500­3000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.



Page 81 of 431



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