More Questions on this Topic
More Questions on this Topic ( 35 Questions)
A nurse is assessing a client who has severe preeclampsia and is receiving magnesium sulfate via continuous IV infusion.
Which of the following findings should alert the nurse to suspect magnesium toxicity?
This indicates muscle weakness and difficulty breathing, which are symptoms of magnesium toxicity. Magnesium sulfate is a medication that can cause magnesium overdose if given in excess or if the patient has impaired kidney function.
Urine output 40 mL/hr is wrong because this is within the normal range for urine output, which is 30 to 50 mL/hr. Urine output may decrease in severe cases of magnesium toxicity due to urine retention.
Patellar reflex 2+ is wrong because this is a normal finding for the knee-jerk reflex. A low or absent patellar reflex may indicate magnesium toxicity, as it reflects muscle weakness and nerve dysfunction.
Serum magnesium level 4.5 mEq/L is wrong because this is within the normal range for serum magnesium, which is 1.7 to 2.3 mEq/L. Serum magnesium levels above 2.6 mEq/L can indicate hypermagnesemia or magnesium overdose.
Respiratory rate 10/min. This indicates muscle weakness and difficulty breathing, which are symptoms of magnesium toxicity. Magnesium sulfate is a medication that can cause magnesium overdose if given in excess or if the patient has impaired kidney function.
Choice B. Urine output 40 mL/hr is wrong because this is within the normal range for urine output, which is 30 to 50 mL/hr. Urine output may decrease in severe cases of magnesium toxicity due to urine retention.
Choice C. Patellar reflex 2+ is wrong because this is a normal finding for the knee-jerk reflex. A low or absent patellar reflex may indicate magnesium toxicity, as it reflects muscle weakness and nerve dysfunction.
Choice D. Serum magnesium level 4.5 mEq/L is wrong because this is within the normal range for serum magnesium, which is 1.7 to 2.3 mEq/L. Serum magnesium levels above 2.6 mEq/L can indicate hypermagnesemia or magnesium overdose.