A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?
Flumazenil
Acetylcysteine
Calcium gluconate
Protamine sulfate
The Correct Answer is C
Choice A rationale: Flumazenil is a benzodiazepine receptor antagonist used for benzodiazepine overdose, not hypermagnesemia.
Choice B rationale: Acetylcysteine is used in acetaminophen overdose, not for hypermagnesemia.
Choice C rationale: Calcium gluconate is often used to counteract the effects of hypermagnesemia by antagonizing the actions of excess magnesium.
Choice D rationale: Protamine sulfate is used to reverse the effects of heparin, not for hypermagnesemia.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Cardiac arrhythmias are a concern with severe hyponatremia but might not directly indicate treatment effectiveness.
Choice B rationale: While vomiting might improve with treatment, it's not a definitive indicator of correcting hyponatremia.
Choice C rationale: Chvostek's sign is more associated with calcium imbalances, not sodium levels.
Choice D rationale: Hyponatremia can cause neurological symptoms due to brain swelling. Improving cognition indicates that the hypertonic solution is likely correcting the low sodium levels and reducing brain swelling.
Correct Answer is B
Explanation
Choice A rationale: Propranolol and raloxifene are not typically associated with causing hearing loss.
Choice B rationale: Furosemide (loop diuretic) and amikacin (aminoglycoside antibiotic) can cause hearing loss, especially when used together, due to their potential ototoxic effects, requiring close monitoring for signs of hearing impairment in clients receiving both medications.
Choice C rationale: Losartan and atorvastatin are not commonly linked to causing hearing loss.
Choice D rationale: While digoxin can cause hearing disturbances, levothyroxine is not typically associated with hearing loss.
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