The nurse performs an assessment of a client who is receivin…

The nurse performs an assessment of a client who is receiving magnesium sulfate for preeclampsia and is being assessed hourly.  The client has urinary output of 30 mL/hr., respiratory rate of 14 breaths per minute, and absent patellar reflexes.  What is the nurse’s next intervention?

A nurse is assessing a 7-year-old boy and notes bruises in v…

A nurse is assessing a 7-year-old boy and notes bruises in various stages of healing along with several small round burn marks on the child’s body. When the boy’s mother is questioned, she states “He’s so careless, falls all the time and plays with matches.” Which action by the nurse is appropriate?