A client receiving magnesium sulfate IV at 1 gram an hour after a loading dose for preterm labor looks flushed and complains of feeling warm. What should the nurse's initial action be?
a. Perform a vaginal exam to determine progress.
b. Reassure the client that this is a normal response.
c. Stop the drug and call the physician.
d. Turn the client on her left side and increase IV fluid.
B
The client should be reassured that feeling flushed and warm are common in clients receiving IV magnesium sulfate. Performing a vaginal exam to determine progress and stopping the drug and calling the physician are not appropriate nursing actions. Turning the client on her left side and increasing IV fluid is not an appropriate action because feeling flushed and warm are common in clients receiving IV magnesium sulfate.
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