Question

What are the primary nursing interventions when a client is receiving an infusion of magnesium sulfate for severe preeclampsia? Select all that apply.

a. Restricting visitors
b. Limiting fluid intake.
c. Preparing for a precipitate birth.
d. Maintaining a quiet environment
e. Keeping magnesium gluconate at the bedside.

Answer 1

Primary nursing interventions during magnesium sulfate infusion for preeclampsia include maintaining a quiet environment, limiting fluid intake, and having calcium gluconate at the bedside as an antidote.

Step-by-step explanation:

When a client is receiving an infusion of magnesium sulfate for severe preeclampsia, primary nursing interventions include:

• Maintaining a quiet environment to help reduce stimuli that can exacerbate hypertension and seizures.
• Limiting fluid intake to prevent fluid overload, which is a risk due to the diuretic effect of magnesium sulfate and the potential for renal impairment in preeclampsia.
• Keeping calcium gluconate at the bedside as an antidote for magnesium sulfate toxicity.

It is not typically advised to restrict visitors or prepare for a precipitate birth solely based on the administration of magnesium sulfate. Each patient's circumstances should guide those decisions.