Which assessment finding indicates an adverse response to magnesium sulfate?
a. Urine output of 30 mL/hr
b. Respiratory rate of 11 breaths/min
c. Hypoactive patellar reflex
d. Blood pressure reading of 110/80 mm Hg
ANS: B
A respiratory rate less than 12 breaths/min indicates magnesium toxicity and requires immediate intervention. A urine output of 30 mL/hr is normal urinary output; a hypoactive patellar reflex and blood pressure reading of 110/80 mm Hg are normal findings in the client receiving magnesium sulfate.
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