A client receiving magnesium sulfate has RR 10/min, absent deep tendon reflexes, and urine output 20 mL/hr. What is the nurse’s priority action?

Question

Accepted Answer

B. Stop the magnesium infusion and prepare to administer calcium gluconate — Low respirations, absent reflexes, and low urine output indicate magnesium toxicity. Stop the infusion, maintain airway/respirations, and prepare the antidote (calcium gluconate) per protocol.

Answer

A. Increase the magnesium infusion rate

Answer

C. Administer oxytocin to speed delivery

Answer

D. Encourage ambulation to improve circulation