The nurse obtains the following data when assessing a pregnant client with eclampsia who is receiving IV magnesium sulphate. Which of the following findings is most important to report to the health care provider immediately?
A)The bibasilar breath sounds are decreased.
B)The patellar and triceps reflexes are absent.
C)The client has been sleeping most of the day.
D)The client reports feeling "sick to my stomach."

Question

Quizplus · Accepted Answer

The loss of the deep tendon reflexes indicates that the client's magnesium level may be reaching toxic levels. Nausea and lethargy also are adverse effects associated with magnesium elevation and should be reported, but they are not as significant as the loss of deep tendon reflexes. The decreased breath sounds suggest that the client needs to cough and deep breathe to prevent atelectasis.

The Nurse Obtains the Following Data When Assessing a Pregnant