A client at 32 weeks' gestation has been receiving magnesium sulfate IV. Which finding would prompt the nurse midwife to administer calcium gluconate?

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The nurse midwife administers calcium gluconate when the client has a serum magnesium level of 7.7 mEq/L. Calcium gluconate is the antidote for magnesium toxicity. A client receiving magnesium sulfate IV should be monitored every hour. A respiratory rate below 12 breaths per minute, a urine output of less than 30 mL/hour, a serum magnesium level greater than 7.5 mEq/L, absent or decreased deep tendon reflex and decreased consciousness indicate magnesium toxicity.

A Client at 32 Weeks' Gestation Has Been Receiving Magnesium