Difficulty: Medium
Average Score: 90%
Simulated
A client with pregnancy-induced hypertension is to receive magnesium sulfate to run at 3 grams per hour with normal saline to maintain the total I.V. rate at 125 mL/hour. The nurse giving end of shift report stated the client's blood pressures have been elevated during the night. The oncoming nurse checked the client and found magnesium sulfate running at 2 grams per hour. Identify the nursing actions to be taken from first to last.
Correct answer
C,A,D,B
Rationale
Assess the client first, correct the error, notify the physician, and then document the incident.