Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr.Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct answer
D
Rationale
The correct answer is D: Respiratory rate of 16/min. A normal respiratory rate indicates adequate oxygenation and ventilation, ensuring the safety of continuing the infusion. A heart rate of 56/min (A) may be bradycardia, indicating decreased cardiac output. Urine output of 50 mL in 4hr (B) is below normal, suggesting inadequate renal perfusion. Diminished deep-tendon reflexes (C) can indicate neurological issues. Therefore, the best indicator for safety in continuing the infusion is a normal respiratory rate.