Difficulty: Medium
Average Score: 84%
Simulated
Passage / Scenario
A client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsiaA nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
Correct answer
C
Rationale
Urine output of 20 mL/hr suggests magnesium toxicity, risking renal impairment, and should be reported. Hypertension is from preeclampsia, 16/min respiratory rate is normal, and hyperglycemia is not a magnesium sulfate side effect.