CRNE Exam Prep

Category - Changes in Health

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A client with pregnancy-induced hypertension is given magnesium sulfate. Which finding, during assessment, should alert the nurse?

Fetal heart rate of 155 beats per minute
Urinary output of 30 ml per hour
A grading of 2+ deep tendon reflexes
Respiratory rate of 10 breaths/ minute

Explanation

Answer: D - Magnesium sulfate can cause respiratory depression. Therefore, a respiratory rate less than 12 breaths/ minute should be reported to the physician. The fetal heart rate and the client’s urinary output and deep tendon reflexes are within the normal range.

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