The nurse should monitor the following findings in a client receiving magnesium sulfate IV for preterm labor:
1. Absent deep tendon reflexes: Magnesium sulfate can cause muscle weakness and affect the nervous system, leading to absent or diminished deep tendon reflexes. Monitoring these reflexes is important to assess the client's response to the medication and to prevent complications such as magnesium toxicity.
2. Respiratory rate (Tachypnea): Magnesium sulfate can depress the central nervous system, including the respiratory center, leading to respiratory depression or tachypnea (rapid breathing). Monitoring the client's respiratory rate is crucial to detect any signs of respiratory distress and intervene promptly if needed.
3. Urine output: Magnesium sulfate can impact kidney function, potentially causing decreased urine output rather than increased. Monitoring the client's urine output is essential to assess renal function and prevent complications such as oliguria (low urine output) or renal failure.
In summary, the nurse should closely monitor the client for absent deep tendon reflexes, respiratory rate changes (such as tachypnea), and urine output when administering magnesium sulfate IV for preterm labor to ensure the client's safety and well-being.
