The client has preeclampsia and might require magnesium sulfate therapy. Which assessment is a critical assessment parameter by the nurse? Which assessment does the nurse prioritize?
1. Fetal heart sounds
2. Deep tendon reflexes
3. Peripheral edema
4. Breath sounds
2
Rationale 1: Fetal heart sounds, although always important, are not the critical assessment in this situation.
Rationale 2: A decrease in deep tendon reflexes indicates that the client has a low magnesium level. This puts the client at risk for seizures related to preeclampsia.
Rationale 3: Peripheral edema is not a critical assessment in this situation.
Rationale 4: Breath sounds, although always important, are not the critical assessment in this situation.
Global Rationale: A decrease in deep tendon reflexes indicates that the client has a low magnesium level. This puts the client at risk for seizures related to preeclampsia. Fetal heart sounds, although always important, are not the critical assessment in this situation. Peripheral edema is not a critical assessment in this situation. Breath sounds, although always important, are not the critical assessment in this situation.
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