ATI Comprehensive Predictor 2023 Exit Exam B | Nurselytic

Correct Answer: A

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Correct
Answer: A: Respiratory rate 10/min.


Rationale: A respiratory rate of 10/min indicates respiratory depression, a serious side effect of magnesium sulfate. This finding can progress to respiratory arrest if not addressed promptly. The nurse should report this to the provider for immediate intervention, such as decreasing the magnesium sulfate infusion rate or providing respiratory support.

Summary of other choices:
B: Blood pressure 150/90 mm Hg - Elevated blood pressure is expected in preeclampsia and may not require immediate intervention unless severe or accompanied by other concerning symptoms.
C: Urine output 40 mL/hr - Adequate urine output, although on the lower side, is still within acceptable range for a client receiving magnesium sulfate.
D: Deep tendon reflexes 2+ - Expected finding with magnesium sulfate therapy and not a cause for concern unless hyperreflexia or clonus is present.

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