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A Client Is Admitted to the Labor and Delivery Unit

Question 50

Multiple Choice

A client is admitted to the labor and delivery unit with a diagnosis of severe preeclampsia.  IV magnesium sulfate is prescribed.  Which nursing measures should the nurse include in this client's plan of care?  Select all that apply.


A) Assess deep tendon reflexes hourly
B) Ensure availability of calcium gluconate
C) Ensure bright lighting to prevent falls
D) Have supplemental oxygen at bedside
E) Limit visitors to minimize stimulation

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