The patient that you are caring for has severe preeclampsia and is receiving a magnesium sulfate infusion. You become concerned after assessment when the woman exhibits:
a. A sleepy, sedated affect. c. Deep tendon reflexes of 2.
b. A respiratory rate of 10 breaths/min. d. Absent ankle clonus.
ANS: B
A respiratory rate of 10 breaths/min indicates that the client is experiencing respiratory depression from magnesium toxicity. Because magnesium sulfate is a central nervous system depressant, the client will most likely become sedated when the infusion is initiated. Deep tendon reflexes of 2 and absent ankle clonus are normal findings.
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