The Nurse Is Monitoring a Patient with Severe Preeclampsia Who

The nurse is monitoring a patient with severe preeclampsia who is on IV magnesium sulfate. Which signs of magnesium toxicity should the nurse monitor for? (Select all that apply.)

A) Cool, clammy skin
B) Altered sensorium
C) Pulse oximeter reading of 95%
D) Respiratory rate of less than 12 breaths per minute
E) Absence of deep tendon reflexes