A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect?

Hypotension

Tachycardia

Muscle cramps

Hyperreflexia

None

Answer and Explanation

The Correct Answer is A

A. Hypotension occurs because hypermagnesemia causes vasodilation, which lowers blood pressure. Magnesium acts as a smooth muscle relaxant, decreasing vascular resistance and contributing to hypotension. This is a common clinical finding when magnesium levels exceed the normal range.

B. Tachycardia is not expected with hypermagnesemia. Elevated magnesium levels depress the heart's electrical activity, leading to bradycardia (slow heart rate) instead of tachycardia.

C. Muscle cramps are typically associated with hypomagnesemia, which increases neuromuscular excitability. In hypermagnesemia, neuromuscular function is suppressed, leading to muscle weakness rather than cramps.

D. Hyperreflexia is a symptom of hypomagnesemia, not hypermagnesemia. In hypermagnesemia, neuromuscular activity is depressed, resulting in diminished or absent deep tendon reflexes

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Correct Answer is D

Explanation

A. Detaching the needle from the syringe before discarding it increases the risk of needlestick injuries and is not recommended.

B. Placing broken glass in a wastebasket increases the risk of injury to housekeeping staff; it should be disposed of in a puncture-proof container.

C. Recapping needles increases the risk of needlestick injuries and is not recommended unless there are no alternatives available.

D. Placing lancets in a puncture-proof container is the correct procedure for preventing puncture injuries, as it safely contains sharp objects and reduces the risk of accidental needlesticks.

A. Hospice care improves quality of life through palliative care. B. Hospice care provides 24-hr, in-home care. C. Hospice care is intended to postpone death. D. Hospice care encourages the family to coordinate health care services.

Correct Answer is A

Explanation

A. Hospice care improves quality of life through palliative care - This is a central aspect of hospice care, focusing on pain and symptom management to enhance the patient's comfort and quality of life.

B. Hospice care provides 24-hr, in-home care - While hospice care may provide support, it typically does not offer around-the-clock care in the home.

C. Hospice care is intended to postpone death - Hospice care aims to provide comfort and support in the final stages of life, not to postpone death.

D. Hospice care encourages the family to coordinate health care services - While family

involvement is important, hospice care typically involves a coordinated interdisciplinary team rather than relying solely on family for coordination.

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A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect?

Nursing Test Bank

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