Question

The client’s magnesium level is checked every six hours during magnesium sulfate therapy. If the client’s magnesium level is 7.0 mg/dL, the nurse should: ? A. Obtain another magnesium level immediately ? B. Chart the finding ? C. Call the doctor ? D. Administer calcium gluconate

Short answer

Answer: C. Call the doctor

Step-by-step solution

Understanding the normal range of magnesium levels

To properly analyze the situation, it's important to know the normal range of magnesium levels in the blood. The normal range of magnesium level is usually 1.7 to 2.2 mg/dL. A level of 7.0 mg/dL is considered high.

Evaluate each option

Now let's analyze each option: A. Obtain another magnesium level immediately: This option seems unnecessary as a recent magnesium level has been reported at 7.0 mg/dL, which is considered high. B. Chart the finding: This option is a necessary part of the nursing process. Regardless of the situation, documenting the findings is essential. C. Call the doctor: Since the magnesium level is higher than the normal range, it's important to inform the doctor to decide the next actions to be taken. D. Administer calcium gluconate: Calcium gluconate is given in situations of magnesium toxicity or as a treatment for hypermagnesemia. However, it's not the nurse's responsibility to decide this without the doctor's instructions.

Choose the best option

Considering the analysis and responsibilities of a nurse when facing a high magnesium level, the best option is: C. Call the doctor So, the nurse should inform the doctor about the high magnesium level (7.0 mg/dL) to seek further instructions and take appropriate actions.