Share This Link

A serum creatinine of 0.8 mg/dL is within the normal range of 0.5 to 1.1 mg/dL for women and does not indicate renal impairment.

A serum uric acid of 6 mg/dL is within the normal range of 2.4 to 6 mg/dL for women and does not indicate hyperuricemia.

A serum albumin of 3.5 g/dL is within the normal range of 3.4 to 5.4 g/dL for adults and does not indicate hypoalbuminemia.

This ensures that the client receives the correct dose of magnesium sulfate and prevents overdose or underdose.Magnesium sulfate is given as a loading dose of 4 g in normal saline solution, followed by a maintenance infusion of 1 to 2 g/h by controlled infusion pump.

However using an infusion pump is not enough to ensure safe administration of magnesium sulfate.

The nurse should also monitor the client’s vital signs, urine output, and serum magnesium level regularly.

This is a way to assess the client’s neuromuscular status and detect signs of magnesium toxicity, such as hyporeflexia or areflexia.Magnesium sulfate can cause muscle weakness and respiratory depression if the serum level is too high.
Howevermonitoring the client’s deep tendon reflexes is not enough to prevent or treat eclamptic seizures.

The nurse should also observe the client for signs of headache, visual disturbances, epigastric pain, or altered mental status.

This is the antidote for magnesium toxicity and should be given if the client develops signs of respiratory depression, cardiac arrhythmias, or loss of consciousness.Calcium gluconate is given as 10 mL of 10% solution IV push over 3 to 5 minutes.
Howeverkeeping calcium gluconate available is not enough to prevent complications of magnesium sulfate therapy.

The nurse should also be prepared to manage air supply.

Eating foods that are high in salt may increase blood pressure and fluid retention, which are signs of preeclampsia.The nurse should advise the client to limit salt intake and avoid processed foods that contain a lot of sodium.

Having a family history of preeclampsia is one of the risk factors for developing this condition.

The nurse should encourage the client to inform the doctor about any family history of preeclampsia, as well as other risk factors

None

Statement is wrong because weight gain of 2 kg in one week is not a sign of severe preeclampsia, but rather a normal occurrence during pregnancy.

Statement is wrong because facial edema is a sign of mild preeclampsia, not severe preeclampsia.Mild preeclampsia is characterized by high blood pressure and protein in the urine.

Statement is wrong because urine output of 40 mL/hr is not a sign of severe preeclampsia, but rather a normal range for urine output during pregnancy.

Normal urine output ranges from 30 to 60 mL/hr for adults.