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 C

Explanation

Oxycodone is an opioid analgesic medication that acts primarily on the central nervous system (CNS) to relieve pain. One of the side effects of opioids like oxycodone is respiratory depression, where breathing becomes slow and shallow. This effect occurs because opioids suppress the activity of the respiratory centers in the brainstem, leading to decreased respiratory rate and depth.

A-oxycodone has no effect on sodium channels

B-opioids cause vasodilation of cerebral vessels but this does not directly affect respiration D-Opioids have no effect on prostaglandin synthesis

A. Gently massage the site following the injection. B. Grasp skin between thumb and forefinger throughout the injection. C. Use the Z-track method to administer the medication. D. Aspirate the syringe prior to injecting the heparin.

Correct Answer is B

Explanation

Pinching the area of skin between two fingers facilitates the injection of the insulin into the subcutaneous tissue rather than muscle. Inject into the subcutaneous tissue prevents hematoma formation and bleeding after the injection.

A,C,D- Increase risk of bleeding

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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

A nurse is assessing a client who has received oxycodone. The nurse notes that the client's respiratory rate is 8/min. The nurse should identify that which of the following is the pathophysiology for the client's respiratory rate?

Correct Answer is C

Explanation

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

Correct Answer is B

Explanation

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