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 ["0.6"]
Explanation
Calculation: 1 mg/kg dose x 121 lb (weight) = 55 kg (approximately) 55 kg x 1 mg = 55 mg (dose required) Enoxaparin 60 mg/0.6 mL = 100 mg/mL Therefore, 55 mg / 100 mg/mL =
0.55 mL (rounded to 0.6 mL).
Correct Answer is D
Explanation
Choice A rationale: Montelukast is a leukotriene receptor antagonist and doesn't directly interact with albuterol.
Choice B rationale: Pantoprazole is a proton pump inhibitor and does not directly interact with albuterol.
Choice C rationale: Isosorbide mononitrate is a nitrate used for heart conditions and does not directly interact with albuterol.
Choice D rationale: Albuterol, used for asthma, is a beta-agonist, while propranolol is a beta-blocker. Administering these medications together can counteract the effects of both drugs due to their opposing actions on beta receptors. It's crucial to withhold propranolol and inform the provider to avoid potential adverse effects.
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