Nursing · Maternal and Child Health Nursing
A nurse is caring for a patient receiving magnesium sulphate therapy for severe pre-eclampsia. Which of the following actions is the priority nursing intervention to prevent magnesium toxicity?
- 1Monitor daily weight, edema, and fluid intake/output.
- 2Assess deep tendon reflexes and respiratory rate regularly.✓
- 3Insert a Foley catheter to measure hourly urine output.
- 4Monitor blood pressure every 15 minutes during the critical phase.
Correct answer
Assess deep tendon reflexes and respiratory rate regularly.
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