You are caring for a patient admitted with a diagnosis of renal failure. When you review your patient's laboratory reports, you note that the patient's magnesium levels are high. What would be important for you to assess?
A) Diminished deep tendon reflexes
B) Tachycardia
C) Cool, clammy skin
D) Increased serum magnesium
Ans: A
Feedback: To gauge a patient's magnesium status, the nurse should check deep tendon reflexes. If the reflex is absent, this may indicate high serum magnesium. Tachycardia and cool, clammy skin are not assessments for hypermagnesemia. Option D is incorrect because you do not assess increased serum magnesium to assess high magnesium levels.
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