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A patient with preeclampsia with severe features is on magnesium sulfate at 2 g/h. Four hours ago urine output was 50 mL/h; it is now 15 mL/h. Patellar reflexes have gone from 2+ to absent, respirations are 11 and shallow, and SpO2 is 95%. The serum magnesium level is pending. What should the nurse do first?

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