A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
Calcium gluconate
Flumazenil
Protamine sulfate
Acetylcysteine
The Correct Answer is A
Choice A rationale:
Calcium gluconate is used to treat hypermagnesemia by antagonizing the effects of excess magnesium and reducing its impact on cardiac function.
Choice B rationale:
Flumazenil is used to reverse the effects of benzodiazepine overdose, not to treat hypermagnesemia.
Choice C rationale:
Protamine sulfate is used to reverse the effects of heparin, not to treat hypermagnesemia.
Choice D rationale:
Acetylcysteine is used to treat acetaminophen overdose, not to treat hypermagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
BUN (blood urea nitrogen) measures kidney function and hydration status but is not a specific indicator for withholding triamterene.
Choice B rationale:
Triamterene is a potassium-sparing diuretic. With a potassium level of 5.3 mEq/L, which is elevated, the nurse should withhold the medication to prevent further potassium retention.
Choice C rationale:
Sodium level of 142 mEq/L is within the normal range and does not indicate a need to withhold triamterene.
Choice D rationale:
Albumin level of 4 g/dL is within the normal range and does not directly impact the decision to withhold triamterene.
Correct Answer is C
Explanation
- A: Warmer skin is not expected as methimazole is used to reduce thyroid hormone production, which would decrease metabolism and heat production.
- B: An increase in pulse rate is unlikely because methimazole decreases thyroid hormone levels, leading to a potential decrease in heart rate.
- C: Increased sleeping is expected as methimazole reduces hyperthyroid symptoms, including insomnia, thus normalizing sleep patterns.
- D: Weight loss is not expected; instead, weight stabilization or gain may occur as the metabolism normalizes with treatment.
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