Question

The client being treated for preeclampsia has an infusion of magnesium sulfate. The magnesium level is checked and found to be \(6.3 \mathrm{meq} / \mathrm{L}\). Which action by the nurse is most appropriate? A. Stop the magnesium sulfate and administer calcium gluconate B. Continue the magnesium sulfate as ordered C. Contact the doctor immediately D. Prepare for an emergency delivery

Short answer

Answer: The most appropriate action by the nurse in this case is to continue the infusion of magnesium sulfate as ordered.

Step-by-step solution

Determine the therapeutic range for magnesium levels in preeclampsia

The goal of administering magnesium sulfate during preeclampsia is to prevent seizures and provide a safe level of magnesium in the patient's blood. The normal therapeutic range for magnesium levels is between \(4 - 7 \mathrm{meq} / \mathrm{L}\). Typically, levels above \(7.5 \mathrm{meq} / \mathrm{L}\) are considered toxic and should be treated accordingly.

Compare the given magnesium level to the therapeutic range

In this case, the patient's magnesium level is \(6.3 \mathrm{meq} / \mathrm{L}\) which is within the normal therapeutic range (\(4 - 7 \mathrm{meq} / \mathrm{L}\)).

Evaluate the available options based on the comparison

A. Stopping the magnesium sulfate and administering calcium gluconate is only applicable when the magnesium level is above the therapeutic range or is causing toxicity. B. Continuing the magnesium sulfate as ordered is the correct choice since the patient's magnesium level falls within the therapeutic range. C. Contacting the doctor immediately is not necessary since the magnesium level is within the normal range. D. Preparing for an emergency delivery is not based on solely magnesium levels and is not the appropriate choice in this case.

Conclusion

Based on the analysis, the most appropriate action by the nurse in this case is to continue the infusion of magnesium sulfate as ordered (Option B).