A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Flumazenil
Calcium gluconate
Naloxone
Protamine sulfate
The Correct Answer is B
A. Flumazenil: Flumazenil is an antidote for benzodiazepine overdose, not for magnesium toxicity.
B. Calcium gluconate. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be administered when signs of toxicity, such as respiratory depression, occur.
C. Naloxone: Naloxone is an antidote for opioid overdose, not magnesium toxicity.
D. Protamine sulfate: Protamine sulfate is the antidote for heparin overdose, not magnesium toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weakened uterine contractions: Terbutaline is a tocolytic medication used to relax the uterus and reduce or stop preterm uterine contractions.
B. Maternal glucose 63 mg/dL: Terbutaline can cause hyperglycemia, not hypoglycemia. Therefore, a glucose level of 63 mg/dL would not be an expected finding.
C. Enhanced fetal lung surfactant: Betamethasone, not terbutaline, is used to enhance fetal lung maturity by increasing surfactant production.
D. Fetal heart rate 100/min:Terbutaline can cause tachycardia, so a fetal heart rate of 100/min (bradycardia) would be unexpected.
Correct Answer is D
Explanation
A. First stage: The first stage of labor begins with the onset of regular contractions and ends with full dilation (10 cm) of the cervix.
B. Third stage: The third stage of labor begins after the birth of the baby and ends with the delivery of the placenta.
C. Fourth stage: The fourth stage of labor involves the immediate postpartum period after the placenta is delivered, focusing on stabilization of the mother.
D. Second Stage: The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby.
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