What information should be included in the client and family teaching of magnesium sulfate? select all that apply.

1. monitoring deep tendon reflexes
2. assessing urine output every 8 hours
3. maintaining a dark, quiet environment
4. using a pump to regulate the medication
5. having calcium gluconate available at the bedside
6. notifying the care provider if the respiratory rate is slower than 20 breaths/min

The correct answers are options 1. "Monitoring deep tendon reflexes", 3. "Maintaining a dark, quiet environment", 4. "Using a pump to regulate the medication", and 5. "Having calcium gluconate available at the bedside".

Explanation:

The most common cause of a patient receiving magnesium sulfate is as a treatment for severe preeclampsia. The client and family teaching of magnesium sulfate must include learning about the interventions that are needed for this treatment, including:

- "Monitoring deep tendon reflexes". A signal of magnesium sulfate toxicity is the loss of deep tendon reflexes. These reflexes must be monitored for security reasons.

- "Maintaining a dark, quiet environment". The patient must be kept in a dark, quiet environment as neuromuscular stimulation must be limited.

- "Using a pump to regulate the medication". The doses of magnesium sulfate must be regulated to avoid toxicity, therefore an injection pump must be used.

- "Having calcium gluconate available at the bedside". Calcium gluconate is used to treat magnesium sulfate toxicity. This medication must be kept available at the bedside for any situation of emergency.

common management practices in dairy and poultry farming are: (i) proper shelter facilities and their regular cleaning. (ii) some basic hygienic conditions such as clean water, nutritious food, etc. (iii) animals are kept in spacious, airy, and ventilated place.