A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect?

Hypotension

Tachycardia

Muscle cramps

Hyperreflexia

None

Answer and Explanation

The Correct Answer is A

A. Hypotension occurs because hypermagnesemia causes vasodilation, which lowers blood pressure. Magnesium acts as a smooth muscle relaxant, decreasing vascular resistance and contributing to hypotension. This is a common clinical finding when magnesium levels exceed the normal range.

B. Tachycardia is not expected with hypermagnesemia. Elevated magnesium levels depress the heart's electrical activity, leading to bradycardia (slow heart rate) instead of tachycardia.

C. Muscle cramps are typically associated with hypomagnesemia, which increases neuromuscular excitability. In hypermagnesemia, neuromuscular function is suppressed, leading to muscle weakness rather than cramps.

D. Hyperreflexia is a symptom of hypomagnesemia, not hypermagnesemia. In hypermagnesemia, neuromuscular activity is depressed, resulting in diminished or absent deep tendon reflexes

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Correct Answer is D

Explanation

- A) Utility: This principle is about producing the greatest good for the greatest number. In the case of a medication error, the focus is not on the collective good but on the individual patient's rights and well-being.
- B) Paternalism: This principle involves making decisions for others, potentially against their will, for their own good. It does not directly apply to the situation of a medication error where the patient's autonomy and right to be informed are paramount.
- C) Fidelity: This principle refers to loyalty and keeping one's promises. While important, it is secondary to the immediate need for honesty and transparency in the event of a medication error.
- D) Veracity: This principle obligates healthcare providers to tell the truth. When a medication error occurs, it is crucial to inform the patient about the mistake and the steps being taken to remedy it, making veracity the most applicable ethical principle in this scenario.

A. Decreased blood pressure B. Weight loss C. Decreased inflammation D. Absence of seizures

Correct Answer is B

Explanation

A. Levothyroxine is a medication used to treat hypothyroidism by replacing or supplementing thyroid hormone. It is not typically associated with decreased blood pressure.

B. Weight loss can be an indicator that levothyroxine therapy is effective in treating hypothyroidism. Hypothyroidism often leads to weight gain, and successful treatment with levothyroxine can help reverse this trend.

C. Levothyroxine therapy primarily targets thyroid hormone levels and is not directly associated with decreased inflammation.

D. Seizures are not typically associated with hypothyroidism or its treatment with levothyroxine.

The effectiveness of levothyroxine is primarily assessed by monitoring thyroid function tests and clinical symptoms such as weight loss, improved energy levels, and resolution of hypothyroid symptoms.

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A nurse is assessing a client who has a magnesium level of 4.4 mEq/L. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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