44.2k views
5 votes
A client receives magnesium sulfate intravenously for treatment of preeclampsia. The client's assessment reveals: BP 110/70 mmHg, P 98 BPM, RR 11/min, hyporeflexia, and a UO of 20 ml/hr. Which analysis by the nurse is best?

a) Continue magnesium sulfate administration as ordered.
b) Administer a bolus of magnesium sulfate.
c) Reduce the magnesium sulfate infusion rate.
d) Discontinue magnesium sulfate and monitor for adverse effects.

User Pesho
by
7.3k points

1 Answer

1 vote

Final answer:

The nurse should reduce the magnesium sulfate infusion rate or discontinue the medication if the client is showing signs of magnesium toxicity. Monitoring for adverse effects is important.

Step-by-step explanation:

The client's assessment reveals low urine output, hyporeflexia, and stable blood pressure and heart rate. These symptoms indicate that the client may be experiencing magnesium toxicity, which can occur with prolonged or excessive magnesium sulfate administration. The nurse should reduce the magnesium sulfate infusion rate or discontinue the medication, as it may lead to adverse effects such as respiratory depression or cardiac arrest. Monitoring for adverse effects is also important.

User Ian Bjorhovde
by
7.4k points