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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Alopecia (hair loss) is not a common adverse effect of paroxetine.

Choice B rationale:

Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.

Choice C rationale:

Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.

Choice D rationale:

Peripheral edema is not a common adverse effect of paroxetine.

A. Give diphenhydramine IM. B. Administer epinephrine IM. C. Elevate the client's legs and feet. D. Replace the infusion with 0.9% sodium chloride.

Correct Answer is B

Explanation

Choice A rationale:

While diphenhydramine is used to manage allergic reactions, epinephrine is the first-line treatment for severe anaphylactic reactions.

Choice B rationale:

In cases of anaphylactic reactions, epinephrine is the first-line treatment to reverse the severe allergic response. It helps to relieve bronchoconstriction, improve blood pressure, and counteract the symptoms of anaphylaxis.

Choice C rationale:

Elevating the client's legs and feet is not the appropriate intervention for anaphylactic reactions.

Choice D rationale:

Replacing the infusion with 0.9% sodium chloride is not the priority action in managing anaphylactic reactions. Administering epinephrine and managing the client's airway and circulation are more important.

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A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

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Explanation

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Correct Answer is B

Explanation

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