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:

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.

A. Slow the infusion rate. B. Flush the IV catheter. C. Elevate the extremity. D. Apply pressure to the IV site.

Correct Answer is C

Explanation

Choice A rationale:

Slowing the infusion rate would not address the issue of infiltration.

Choice B rationale:

Flushing the IV catheter would not be effective in managing fluid infiltration.

Choice C rationale:

Elevating the extremity helps reduce swelling and limits the spread of infiltrated fluid into surrounding tissues.

Choice D rationale:

Applying pressure to the IV site might be appropriate for preventing bleeding during catheter removal, but it would not effectively manage fluid infiltration.

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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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Correct Answer is C

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