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 B
Explanation
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.
Correct Answer is A
Explanation
A. Nothing—this is a normal finding. Fetal heart rate accelerations are reassuring and indicate good fetal oxygenation and well-being. No intervention is needed.
B. Place patient on her left side. Changing position is an intervention for decelerations or abnormal fetal heart rate patterns, not for accelerations.
C. Give oxygen: Oxygen is administered in cases of fetal distress, such as prolonged decelerations or bradycardia, but not for normal accelerations.
D. Call provider. Accelerations are a positive sign, and there is no need to call the provider for this normal finding.
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