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A primigravida client with severe gestational hypertension is admitted to the labor unit. She has been receiving magnesium sulfate IV for 3 hours. The latest data reveals deep tendon reflexes (DTRs) of +1, blood pressure of 150/100 mm Hg, a pulse of 92 beats/minute, a respiratory rate of 10 breaths/minute, and urine output of 20 mL/ hour. Which action would be most appropriate?
1. Continue monitoring the client.
2. Stop the magnesium sulfate infusion.
3. Increase the infusion rate by 5 gtt/minute.
4. Decrease the infusion rate by 5 gtt/minute.

Respuesta :

obasola1

Answer:

Stop the magnesium sulfate infusion.

Explanation:

The best bet is to stop the magnesium sulfate infusion. She is not responding to the dosage. Already there is a nervous system depression because of the high magnesium sulfate dosage. Monitoring the client will not salvage the deep tendon reflexes and urinary output of 20ml/hr. The signs shows that there is a toxic substance in her system. to continue to infuse the magnesium dosage will not help

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