護理師監測一位子癇症病人接受硫酸鎂輸注。哪些護理評估為優先？（選所有適合的）
A nurse is monitoring a client receiving intravenous magnesium sulfate for eclampsia. Which nursing assessments are priority? (Select all that apply.)
- APatellar deep tendon reflexes✓ 正解膝跳深層肌腱反射
- BRespiratory rate✓ 正解呼吸頻率
- CHourly urine output✓ 正解每小時尿量
- DBlood glucose level血糖濃度
- ESerum magnesium level✓ 正解血清鎂濃度
硫酸鎂（Magnesium Sulfate）用於子癇症（Eclampsia）預防抽搐，但治療窗窄，極易發生中毒。護理師必須監測中毒的四大指標：深層肌腱反射（DTRs）減弱或消失、呼吸抑制（RR < 12）、尿量減少（< 30 mL/hr）以及血中鎂濃度。這些指標反映藥物代謝與毒性累積，是保障病人安全的首要評估。
Magnesium sulfate has a narrow therapeutic window, making toxicity a significant risk that requires close monitoring of four key indicators: deep tendon reflexes, respiratory rate, hourly urine output, and serum magnesium levels. Diminished reflexes, respiratory depression (rate less than 12/min), and oliguria (less than 30 mL/hr) are early signs of toxicity. These assessments ensure safe drug metabolism and prevent life-threatening complications.