Intrapartum/Postpartum Nursing Care Exam 35

Intrapartum/Postpartum Nursing Care Exam 35.A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client’s respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take? A. Discontinue the medication infusion. Rationale:Magnesium toxicity is manifested by bradypnea (respiratory rate less than 12/min) and absent deep tendon reflexes. The magnesium sulfate infusion should be discontinued and calcium gluconate administered via IV. B. Prepare for an emergency cesarean birth. Rationale:There is no indication for a cesarean birth at this time. C. Assess maternal blood glucose. Rationale:This intervention is not indicated. D. Place the client in Trendelenburg position. Rationale:Trendelenburg position is used for clients in shock who are hypotensive. This position is not indicated for this client. give me more questions exams like this