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:

Weight gain is not typically associated with fluid volume deficit.

Choice B rationale:

Oliguria (reduced urine output) is indicative of fluid volume deficit, as the body conserves fluid by producing less urine.

Choice C rationale:

Nausea may be related to various factors, but it is not a specific sign of fluid volume deficit.

Choice D rationale:

Headaches can occur for various reasons and are not specific to fluid volume deficit.

A. "Take this medication 2 hours before a meal." B. "Decrease your daily sodium intake." C. "Limit foods containing tyramine." D. "Report swelling of the feet to your provider."

Correct Answer is B

Explanation

Choice A rationale:

Lithium carbonate should be taken with meals to minimize gastrointestinal upset.

Choice B rationale:

Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.

Choice C rationale:

Tyramine is not typically restricted in clients taking lithium.

Choice D rationale:

Swelling of the feet is not a common adverse effect of lithium carbonate.

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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

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