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A 17-year-old primigravida with severe hypertension of pregnancy has been receiving magnesium sulfate iv for three hr. the latest assessment reveals deep tendon reflexes (dtr) of +1, flushing, blood pressure of 150/100 mmhg, a pulse of 92 beats/min, a respiratory rate of 10 breaths/min, and urine output of 20 ml/hr. which action would be most appropriate?

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Kalahira
The most appropriate action in this scenario would be to stop the magnesium sulfate infusion. Magnesium sulfate treatments are used to treat preeclampsia in pregnant women. Here, the 17 year old has hypertension (preeclampsia) and was given the infusion to treat it. However, a negative symptom of this treatment can include drops in blood pressure and irregularities in heart beat. Also, breathing problems can occur. Thus, it would be most appropriate to stop the treatment given the patient's reaction to the treatment.