A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
Flumazenil
Acetylcysteine
Calcium gluconate
Protamine sulfate
The Correct Answer is C
Choice A rationale: Flumazenil is a benzodiazepine receptor antagonist used for benzodiazepine overdose, not hypermagnesemia.
Choice B rationale: Acetylcysteine is used in acetaminophen overdose, not for hypermagnesemia.
Choice C rationale: Calcium gluconate is often used to counteract the effects of hypermagnesemia by antagonizing the actions of excess magnesium.
Choice D rationale: Protamine sulfate is used to reverse the effects of heparin, not for hypermagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Metronidazole is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice B rationale: Clarithromycin is a macrolide antibiotic and is not associated with cross-reactivity in penicillin-allergic individuals.
Choice C rationale: Vancomycin is not a beta-lactam antibiotic and does not typically cause cross-reactivity in individuals with penicillin allergies.
Choice D rationale: Ceftriaxone belongs to the beta-lactam antibiotic class, which includes penicillins, and can potentially cause cross-reactivity in individuals with a history of anaphylactic reactions to penicillin.
Correct Answer is B
Explanation
Choice A rationale: An elevated white blood cell count might indicate an infection but does not directly relate to gentamicin administration.
Choice B rationale: Gentamicin is nephrotoxic, and an increase in creatinine levels could indicate kidney damage or impaired renal function, requiring immediate attention to prevent further nephrotoxic effects.
Choice C rationale: A potassium level within the normal range does not require immediate attention related to gentamicin use.
Choice D rationale: An elevated fasting blood glucose might indicate hyperglycemia but is not directly related to gentamicin administration.
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