NCLEX-PN

Category - Pharmacological Therapies

A client with pregnancy-induced hypertension is ordered to receive magnesium sulfate. The nurse’s priority assessment when monitoring the client is which of the following?
  1. Blood pressure
  2. Temperature
  3. Respiratory rate
  4. Capillary refill time
Explanation
Answer: C - A client who receives magnesium sulfate is at risk for respiratory depression. The nurse should monitor the client’s respiratory rate and report findings below 12 breaths per minute.
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