A client with severe preeclampsia receives magnesium sulfate. Highlight the findings that require immediate medication follow-up.
Highlight in Table
Choose your responses, then check the answer.
Explanation
Bradypnea, absent deep-tendon reflexes, falling urine output, and increasing somnolence indicate magnesium accumulation and require stopping the infusion and urgent evaluation and rescue readiness.
Quick answer Escalate respiratory, reflex, renal, and consciousness deterioration.
Why this is correct Magnesium is cleared by the kidneys and excessive levels depress neuromuscular and respiratory function. Maternal assessment must drive immediate action.
Easy analogy or mental picture Treat medication safety like airway triage: identify the threat, interrupt exposure, support physiology, and verify a durable response.
NCLEX decision rule Choose the action that prevents the most immediate medication-related harm while preserving reassessment and escalation.
Why the other choices are wrong Options that normalize deterioration, add interacting medication, or delay rescue leave the safety loop open.
References
1DailyMed: Magnesium Sulfate in Water for InjectionNeuromuscular and respiratory depression, renal clearance, monitoring, and maternal-newborn toxicity
Medication safety reviewVerify the indication, current assessment, respiratory and neurologic status, interactions, authorized rescue action, and measurable follow-up.