Question

A client with preeclampsia has a prescription for a magnesium sulfate infusion to be initiated. The nurse assesses the client's status to obtain baseline information. Which assessments are necessary? Select all that apply.

a. Patellar reflex
b. Output of urine
c. Respiratory rate
d. Body temperature
e. Urine specific gravity

Answer 1

Baseline assessments for a client with preeclampsia prescribed magnesium sulfate include checking the patellar reflex, urine output, and respiratory rate, as well as routine measurements such as body temperature and urine specific gravity.

Step-by-step explanation:

A client with preeclampsia is prescribed a magnesium sulfate infusion, which necessitates certain baseline assessments to ensure safety and efficacy. Among these necessary assessments are:

• Patellar reflex - To monitor for possible neuromuscular blockade, which can be a side effect of magnesium sulfate.
• Urine Output - To assess for oliguria, a possible condition in preeclampsia that can also be affected by magnesium sulfate.
• Respiratory rate - Magnesium has a depressant effect on the central nervous system, which can lead to respiratory depression.
• Body Temperature - Although not typically affected by magnesium sulfate, it's a basic vital sign that might indicate other conditions.
• Urine Specific Gravity - To evaluate kidney function and fluid balance, significant in preeclampsia and potentially affected by magnesium therapy.