OB NURS 306 ATI REAL LIFE PREECLAMPSIA.

OB NURS 306 ATI REAL LIFE PREECLAMPSIA. ATI real life preeclampsia Scenario Nurse Morgan calculates the dosage of hydralazine (Apresoline). Question Nurse Morgan is preparing to administer hydralazine (Apresoline) 5 mg IV bolus. Available is hydralazine 20 mg/mL. How many mL should Morgan administer? (Round the answer to the nearest hundredth.) Selected Option 0.25 Rationale STEP 1: What is the unit of measurement to calculate? mL STEP 2: What is the dose needed? Dose needed = Desired. 5 mg STEP 3: What is the dose available? Dose available = Have. 20 mg STEP 4: Should the nurse convert the units of measurement? No STEP 5: What is the Quantity of the dose available? 1 mL STEP 6: Set up the equation and solve for X. Have = Desired Quantity X 20 mg = 5 mg 1 mL X mL X = 0.25 STEP 7: Round, if necessary. STEP 8: Reassess to determine the amount to administer makes sense. If there are 20 mg/mL and the amount prescribed is 5 mg, it makes sense to administer 0.25 mL. The nurse should administer hydralazine 0.25 mL IV. Nurse Morgan is preparing to administer magnesium sulfate IV at 2 g/ hr. Available is magnesium sulfate 40 g/1,000 mL lactated Ringer's. Morgan should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number.) Selected Option 50 mL/hr Rationale STEP 1: What is the unit of measurement to calculate? mL/hr STEP 2: What is the volume needed? 2 g STEP 3: What is the total infusion time? 1 hr STEP 4: Should the nurse convert the units of measurement? No STEP 5: Set up the equation and solve for X. Have = Desired Quantity X 2 g = 40 g X mL 1,000 mL X = 50 STEP 6: Round, if necessary. STEP 7: Reassess to determine the amount to administer makes sense. If the amount prescribed is 2 g/hr and available is 40 g/1,000 mL, it makes sense to administer 50 mL/hr. The nurse should set the IV pump to deliver magnesium sulfate at 50 mL/hr. Scenario Nurse Morgan assesses Ms. Klein during the administration of IV magnesium sulfate. Question Nurse Morgan is administering IV magnesium sulfate to Ms. Klein. Which of the following manifestations indicates Ms. Klein is experiencing magnesium toxicity? Selected Option Respirations 11/min Rationale A respiratory rate of less than 12/min is an indication of magnesium toxicity. The nurse should report this manifestation to the provider. Scenario Nurse Morgan recognizes a nonreassuring fetal heart rate. Question Nurse Morgan recognizes Ms. Klein is experiencing variable decelerations of the fetal heart rate. Which of the following nursing interventions should Morgan take at this time? Selected Option Change Ms. Klein's position Rationale The nurse should change the client's position to a lateral or knee-chest position to attempt to improve uteroplacental perfusion. Scenario Nurse Morgan reviews laboratory test results for Ms. Klein. Question Nurse Morgan reviews the laboratory test results for Ms. Klein. Which of the following findings confirms a diagnosis of severe preeclampsia? Selected Option Aspartate aminotransferase (AST) 75 units/L Rationale This liver enzyme is significantly elevated and is consistent with a diagnosis of severe preeclampsia.