The nurse is preparing to administer magnesium sulfate to a pregnant client with pre-eclampsia. Which conditions must the nurse assess this client for while administering this medication?

Question

Standard Text: Select all that apply.
1. Level of consciousness
2. Deep tendon reflexes
3. Urine output
4. Neuromuscular depression
5. Magnesium level

Answer 1

Correct Answer: 1,2,3,5
Rationale 1: The nurse must monitor the client's level of consciousness while administering magnesium to determine the presence of adverse effects.
Rationale 2: The nurse must monitor the client's deep tendon reflexes while administering magnesium to determine the presence of adverse effects.
Rationale 3: The nurse must monitor the client's urine output while administering magnesium to determine the presence of adverse effects.
Rationale 4: The nurse would monitor a newborn for neuromuscular depression following delivery, not the client giving birth.
Rationale 5: The nurse would monitor the client's magnesium level in order to assess for toxicity.
Global Rationale: The nurse must monitor the client's level of consciousness, deep tendon reflexes, urine output, and the serum magnesium level while administering magnesium to determine the presence of adverse effects and toxicity. The nurse would monitor a newborn for neuromuscular depression following delivery, not the client giving birth.