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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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andi andi
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6 years ago
You are caring for a patient who was admitted to labor and delivery at 32 weeks' gestation and diagnosed with preterm labor. She is currently on magnesium sulfate, 2 gm per hour.
 
  Upon your initial assessment you note that she has a respiratory rate of 8 with absent deep tendon reflexes. What will be your first nursing intervention?
  a. Elevate head of the bed
  b. Notify the MD
  c. Discontinue magnesium sulfate
  d. Draw a serum magnesium level
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#1
6 years ago
ANS: c
Initial nursing intervention needs to be discontinuing magnesium sulfate because the patient is exhibiting signs of magnesium toxicity with absent deep tendon reflexes and decreased respiratory rate.
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