A woman is admitted to the high-risk OB unit with the diagnosis of preterm labor.Orders include bedrest with continuous fetal monitoring,administration of magnesium sulfate (Sulfamag)and betamethasone (Celestone),and laboratory work.In reviewing the patient's record,the nurse notes a history of hypertension that is well controlled with nifedipine (Procardia)and diet-controlled diabetes mellitus type 2.Which action by the nurse is best?

Question

Quizplus · Accepted Answer

The combination of nifedipine and magnesium sulfate can cause sudden cardiac death.The nurse should contact the health-care provider to question the orders.The nurse should also document all aspects of this communication clearly.The woman may or may not need assistance in choosing food items appropriate for her diabetes.All patients need a full skin assessment and,depending on how long bedrest is anticipated,a pressure-relieving mattress overlay might be appropriate.The nurse should not give the medications without further clarification.

A Woman Is Admitted to the High-Risk OB Unit with the Diagnosis