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 D

Explanation

Choice A rationale:

Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.

Choice B rationale:

Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.

Choice C rationale:

Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.

Choice D rationale:

Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.

A. Warmer skin B. Increase in pulse rate C. Increased sleeping D. Weight loss

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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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 caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Correct Answer is D

Explanation

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is C

Explanation

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