A client with hypermagnesemia is prescribed calcium gluconate. Which action is appropriate for the nurse to take?

Administering calcium gluconate to counteract magnesium toxicity

Initiating IV fluid restriction

Administering potassium chloride to balance electrolytes

Increasing the dose of magnesium sulfate

Answer and Explanation

The Correct Answer is A

Rationale:
A. Calcium gluconate is the antidote for magnesium toxicity; it helps reverse the cardiac and neuromuscular effects of hypermagnesemia.
B. IV fluid restriction is not appropriate; often IV fluids are given to promote magnesium excretion.
C. Potassium chloride is not indicated for hypermagnesemia treatment.
D. Increasing magnesium sulfate would worsen hypermagnesemia and is contraindicated.

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Correct Answer is A

Explanation

Rationale:
A. Kussmaul's respirations are deep, rapid breathing that occurs as a respiratory compensation to blow off CO₂ and raise pH during metabolic acidosis.
B. Decreased blood pressure is a clinical sign but not a compensatory mechanism for metabolic acidosis.
C. Reduced abdominal distention is unrelated to acid-base compensation.
D. Increased urinary output may occur but is not the primary compensatory response for metabolic acidosis.

A. Elevate the head of the bed to high Fowler's. B. Check the client's respiratory rate and lung sounds C. Measure the client's temperature. D. Request NPO status for the client.

Correct Answer is B

Explanation

Rationale:
A. Elevating the head of the bed is appropriate for respiratory distress, but the priority is to assess for signs of fluid overload.
B. The IV infused 900 mL in just 30 minutes, which is a dangerously rapid rate and can lead to fluid volume overload, especially in vulnerable clients. The nurse should assess for signs such as increased respiratory rate and crackles in the lungs, indicating pulmonary edema.
C. Measuring temperature is not the priority in this situation and does not relate directly to fluid overload.
D. NPO status does not address the immediate concern of a rapid IV infusion and its potential consequences.

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A client with hypermagnesemia is prescribed calcium gluconate. Which action is appropriate for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse can record that the compensatory mechanism for the correction of metabolic acidosis is in effect when the nurse observes?

Correct Answer is A

Explanation

During a change-of-shift report, a nurse sees that a client's IV bag of 0.9% sodium chloride has 900 mL of fluid left in it. The nurse makes rounds 30 min later and notes that the IV bag is empty. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?

A nurse is reviewing a client's admission laboratory findings that indicate the client has hyponatremia. Which of the following laboratory findings should the nurse also expect to be below the expected reference range?

The nurse is aware that which of the following results when an increased concentration of hydrogen ions occurs within the body fluids?

Convert traditional time of 4:37pm to military time

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