A client is receiving an infusion of magnesium sulfate. The health care provider should be notified immediately if which response is observed?
1. A pulse rate of 99 beats per minute
2. A blood pressure of 90/60
3. Pain at the IV site
4. A respiratory rate of 9 breaths per minute
Correct Answer: 4
Rationale 1: A pulse rate of 99 beats per minute is within normal limits.
Rationale 2: Blood pressure of 90/60 is considered to be within normal limits.
Rationale 3: Pain at the IV site does not need to be immediately reported to the health care provider.
Rationale 4: A respiratory rate below 12 should be reported to the health care provider immediately. This can indicate magnesium toxicity.
Global Rationale: A respiratory rate below 12 should be reported to the health care provider immediately. This can indicate magnesium toxicity. A pulse rate of 99 beats per minute and a blood pressure of 90/60 are within normal limits. Pain at the IV site does not need to be immediately reported to the health care provider.
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