A nurse is caring for a client who is receiving magnesium sulfate IV bolus for preeclampsia. The client's respiratory rate is 6/min and they have absent deep tendon reflexes. Which of the following medications should the nurse anticipate the provider to prescribe?

Methylergonovine

Calcium gluconate

Naloxone

Dexamethasone

Answer and Explanation

The Correct Answer is B

Reduced respiratory rate and absence of deep tendon reflexes are an indicator of magnesium sulfate toxicity. Calcium competitively binds on the magnesium sulphate receptors to lower the toxicity effect

A- Methylergonovine is a uterotonic C-Naloxone is used for opioids toxicity D-Dexamethasone is not an antidote

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Correct Answer is A

Explanation

Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.

B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation

A. Increase in heart rate B. Decrease in respiratory rate C. Increase in bowel function D. Decrease in body temperature

Correct Answer is B

Explanation

Propofol causes positive modulation of the inhibitory function of the neurotransmitter gamma-aminobutyric acid (GABA) through GABA-A receptors. It also enhances GABA's effects leads to increased chloride influx into neurons, causing hyperpolarization and decreased neuronal activity. This results in the sedative and hypnotic effects for which propofol is used during anesthesia. Propofol can cause respiratory depression when levels in the blood are high and hence respiratory rate should be monitored closely

A-Propofol is likely to cause bradycardia due to depression of central cardiac centers

C-Propofol has no effect on bowel function

D-Propofol can cause hypothermia when used in anesthesia but not as critical as respiratory depression

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A nurse is caring for a client who is receiving magnesium sulfate IV bolus for preeclampsia. The client's respiratory rate is 6/min and they have absent deep tendon reflexes. Which of the following medications should the nurse anticipate the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is caring for a client who is receiving magnesium sulfate IV bolus for preeclampsia. The client's respiratory rate is 6/min and they have absent deep tendon reflexes. Which of the following medications should the nurse anticipate the provider to prescribe?

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