The Nurse Assesses a Pregnant Patient with Eclampsia Who Is

Multiple Choice

The nurse assesses a pregnant patient with eclampsia who is receiving IV magnesium sulfate and obtains all the following information. Which of these assessment data is most important to report to the health care provider immediately?

A) The patient reports feeling "sick to my stomach."
B) The patellar and triceps reflexes are absent.
C) The patient has been sleeping most of the day.
D) The bibasilar breath sounds are decreased.