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The nurse is caring for a woman who has been diagnosed with preeclampsia and has been placed on ...

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The nurse is caring for a woman who has been diagnosed with preeclampsia and has been placed on ...

The nurse is caring for a woman who has been diagnosed with preeclampsia and has been placed on intravenous magnesium sulfate to prevent seizures. After checking the patellar deep tendon reflex, the nurse documents the response as 2+. Which is the nurse's next action after this assessment?

▸ Immediately discontinue the magnesium sulfate because the patellar response indicates hyporeflexia.

▸ Check the deep tendon reflex in the biceps to see if it agrees with the patella.

▸ Turn the client on her side to prevent aspiration during the anticipated seizure.

▸ Ensure that the IV site is patent and that the magnesium sulfate is infusing adequately.

Textbook

Clinical Nursing Skills: A Concept-Based Approach

Edition: 3^rd

Author: Callahan

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