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Mix Questions 23

A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

Continue the infusion of magnesium sulfate while monitoring the client’s blood pressureStop the infusion of magnesium sulfate and contact the physicianSlow the infusion rate and turn the client on her left sideAdminister calcium gluconate IV push and continue to monitor the blood pressure

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ExplanationThe client’s blood pressure and urinary output are within normal limits. The only alteration from normal is the decreased deep tendon reflexes. The nurse should continue to monitor the blood pressure and check the magnesium level. The therapeutic level is 4.0–8.0mg/dL. Answers B, C, and D are incorrect because there is no need to stop the infusion at this time or slow the rate. Calcium gluconate is the antidote for magnesium sulfate, but there is no data to indicate toxicity.

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