Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
A client with gestational hypertension receiving magnesium sulfateA client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?
Correct answer
B
Rationale
Deep tendon reflexes at 2+ indicate a therapeutic magnesium level, preventing seizures without toxicity. Difficulty arousing, low urinary output (below 40 mL/hr), or respiratory rate of 10 suggest toxicity, requiring intervention.