Question

A client receives magnesium sulfate intravenously for treatment of preeclampsia. The client's assessment reveals: BP 110/70 mm Hg, P 98 beats/minute, R 11 breaths/minute, hyporeflexia, and a urine output of 20 mL/hr. Which analysis by the nurse is BEST? 1) Maternal toxicity has occurred. 2) An additional dose of magnesium sulfate is needed. 3) Desired systemic results have been reached. 4) Drug therapeutic levels have been attained.

Answer 1

The best analysis is maternal toxicity due to the clinical signs such as hyporeflexia and low urine output, which suggest magnesium toxicity. Immediate medical attention is necessary.

Step-by-step explanation:

A client receiving magnesium sulfate intravenously for the treatment of preeclampsia exhibits signs such as a blood pressure of 110/70 mm Hg, a pulse of 98 beats/minute, a respiratory rate of 11 breaths/minute, hyporeflexia, and a urine output of 20 mL/hr.

Given this clinical picture, the best analysis by the nurse would be that maternal toxicity has occurred. Hyporeflexia and a low urine output are indicative of magnesium toxicity and require immediate medical attention.

Magnesium plays an important role in various bodily functions, including blood pressure control, and when administered intravenously, careful monitoring is essential to avoid overdose and toxicity.

Learn more about Magnesium Toxicity