A client with PIH is admitted to the hospital and is receiving magnesium sulfate at 1 gram per hour after a loading dose. Which observations are essential in evaluating the client for magnesium toxicity?
a. Blood pressure and apical pulse
b. Fetal heart rate and contraction pattern
c. Respirations and patellar reflex
d. Temperature and pulse rate
C
Magnesium sulfate infusion causes CNS depression, which may adversely affect respiratory rate and decrease deep tendon reflexes. While blood pressure and apical pulse are important pieces of assessment data, these are not the most critical related to the infusion of magnesium sulfate. Fetal heart rate, contraction pattern, temperature and pulse rate are important pieces of assessment data, but these are not the most critical related to the infusion of magnesium sulfate.
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