A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Flumazenil
Calcium gluconate
Naloxone
Protamine sulfate
The Correct Answer is B
A. Flumazenil: Flumazenil is an antidote for benzodiazepine overdose, not for magnesium toxicity.
B. Calcium gluconate. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be administered when signs of toxicity, such as respiratory depression, occur.
C. Naloxone: Naloxone is an antidote for opioid overdose, not magnesium toxicity.
D. Protamine sulfate: Protamine sulfate is the antidote for heparin overdose, not magnesium toxicity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "We need to decrease the fluid in your uterus." An amnioinfusion adds sterile fluid to the uterus, not decreases it.
B. "The decreased fluid in the uterus is causing the baby to lie on the umbilical cord." Amnioinfusion is commonly performed when oligohydramnios (low amniotic fluid) is present, and it helps relieve pressure on the umbilical cord, which can result in fetal distress.
C. "You need extra amniotic fluid to prevent a dry birth." A "dry birth" is not a recognized medical term or condition related to amnioinfusion.
D. "This will replace fluid in your uterus to prevent an infection." Amnioinfusion is not used to prevent infection. Its purpose is typically to relieve umbilical cord compression or dilute meconium in the amniotic fluid.
Correct Answer is B
Explanation
A. Wipe from the back to front when performing perineal hygiene: The correct method for perineal hygiene is to wipe front to back to reduce the risk of introducing bacteria into the vaginal area, especially in a client with PROM who is at risk for infection.
B. Keep a daily record of fetal kick counts: Monitoring fetal kick counts helps assess fetal well-being, particularly in a high-risk pregnancy like PROM at 26 weeks. It helps detect potential fetal distress early.
C. Avoid bubble bath solution when taking a tub bath: While avoiding bubble bath may help prevent irritation or infection, tub baths should be avoided entirely in cases of PROM to reduce the risk of ascending infection.
D. Use a condom with sexual intercourse. Sexual intercourse is contraindicated in clients with PROM due to the risk of infection.
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