Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.The nurse should monitor the client for which of the following findings as an indication of magnesium sulfate toxicity?
Correct answer
D
Rationale
Respiratory rate of 10/min is a critical sign of magnesium sulfate toxicity. Magnesium sulfate can cause respiratory depression, and a rate of 10 breaths per minute or less indicates that the patient may be experiencing toxic effects.