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When should the nurse hold the dose of magnesium sulfate and call the physician?

A) If the patient complains of mild discomfort or a headache
B) Upon observing absent deep tendon reflexes
C) When the patient's respiratory rate is within the normal range
D) If the patient reports feeling warm and slightly flushed

1 Answer

4 votes

Final answer:

The nurse should hold the dose of magnesium sulfate and call the physician upon observing absent deep tendon reflexes. This can indicate a potential adverse reaction to the medication.

Step-by-step explanation:

The nurse should hold the dose of magnesium sulfate and call the physician upon observing absent deep tendon reflexes. This can indicate a potential adverse reaction to the medication. Absent deep tendon reflexes may be a sign of magnesium toxicity, which can lead to serious complications.

Monitoring deep tendon reflexes is important when administering magnesium sulfate because it can cause muscle relaxation and decrease reflex activity. If absent deep tendon reflexes are observed, it is crucial to hold the dose and notify the physician to prevent further complications.

Magnesium sulfate is commonly used to prevent seizures in preeclampsia or to treat other medical conditions such as asthma or cardiac arrhythmias. However, it is important to monitor patients closely for potential adverse reactions and respond accordingly.

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