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:
Morphine tablet is not likely to provide rapid relief within 1 hour for moderate to severe pain.
Choice B rationale:
Fentanyl transmucosa, such as a fentanyl lozenge or transmucosal patch, is a strong opioid analgesic that can provide rapid relief for breakthrough pain.
Choice C rationale:
A lidocaine patch is typically used for localized pain relief and might not provide the desired level of relief for systemic pain.
Choice D rationale:
Naloxone IV is an opioid antagonist used to reverse opioid overdose. It would not be appropriate to administer naloxone in this situation.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Choice B rationale:
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
Choice C rationale:
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
Choice D rationale:
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
Choice E rationale
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.
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