MEDizzy - A nurse is monitoring a client with severe preeclampsia who

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Nursing Care of Women at Risk During Pregnancy & Post-partum

A nurse is monitoring a client with severe preeclampsia who is receiving an infusion of magnesium sulfate. Assessment reveals a pulse rate of 55/minute, respirations of 12/minute, and a flushed face. What is the next nursing action?

ExplanationB. The client’s slow pulse and respirations and the flushed face are signs of magnesium sulfate toxicity. The infusion should be stopped and the IV site should be maintained with an infusion of D5W because an antagonist (calcium gluconate) may be prescribed. A. This is unsafe because continuing the infusion will make the CNS depression more severe. The health care provider should be notified after the infusion has been stopped. C. These actions are unsafe. The client’s clinical manifestations indicate a life-threatening condition. D. It is unsafe to decrease the rate of the infusion because the CNS depression will worsen. The magnesium level should be obtained, but not before stopping the infusion