1800 – A 17-year-old nulliparous client at 37-gestational weeks was admitted to the antepartum unit. The client reports a frontal headache of 8/10, photophobia, and epigastric pain. Magnesium sulfate loading dose and continuous infusion initiated as prescribed.
Oral temperature 97° F (36° C); Pulse 88 bpm; Respirations 19; BP 163/113 mm Hg; Oxygen saturation 96% on room air.
The nurse is caring for a client with severe preeclampsia receiving an infusion of magnesium sulfate.
➢ For each type of assessment, click to specify whether or not the assessment is indicated or not indicated for the magnesium sulfate infusion.
- A. Fetal Heart Rate
- B. Deep Tendon Reflexes
- C. Hourly Blood Glucose
- D. Urine Output
- E. Bowel Sounds
- F. Blood Pressure
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