The nurse is caring for a client with a serum magnesium of 2.9 mEq/L. The nurse should anticipate a prescription from the primary healthcare provider for what treatment?
Fluid restriction
Furosemide (Lasix)
Calcium carbonate (Tums)
Magnesium oxide (MagOx)
The Correct Answer is B
A. Fluid restriction: Fluid restriction is not indicated for high serum magnesium levels. It is generally used for conditions like heart failure or renal impairment, but not specifically for managing hypermagnesemia.
B. Furosemide (Lasix): This is the correct choice because furosemide is a diuretic that can help promote the excretion of excess magnesium through the urine. It is an appropriate treatment for hypermagnesemia, which is indicated by the elevated serum magnesium level.
C. Calcium carbonate (Tums): This option is incorrect as calcium carbonate is typically used to treat hypomagnesemia (low magnesium levels) or to bind excess phosphate, not to manage elevated magnesium levels.
D. Magnesium oxide (MagOx): This is not suitable because magnesium oxide would increase the magnesium level further, not decrease it. It is used to supplement magnesium in cases of deficiency, not to treat hypermagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I will increase my fluid and fiber intake while I am taking iron tablets.": This statement is correct as increasing fluid and fiber can help manage constipation, a common side effect of iron supplementation.
B. "I will take the tablets with water an hour before eating.": This is correct because taking iron supplements on an empty stomach can improve absorption, and water helps dissolve the tablets.
C. "I will immediately call my health care provider if my stools turn green.": This statement indicates a misunderstanding, as green stools are a common and harmless side effect of iron supplements. They are not typically a cause for concern unless accompanied by other symptoms.
D. "I will take a stool softener if I occasionally feel constipated.": This is a correct and appropriate approach, as stool softeners can help alleviate constipation caused by iron supplements.
Correct Answer is B
Explanation
A. Infiltration: Infiltration occurs when IV fluid or medication leaks into the surrounding tissue, typically causing swelling and coolness, but not usually a cord-like vein or a reddened streak.
B. Phlebitis: This is the correct choice. Phlebitis is inflammation of the vein, evidenced by tenderness, burning, swelling, and a reddened streak along the vein. The cord-like vein indicates inflammation.
C. Extravasation: Extravasation involves the leakage of vesicant drugs into surrounding tissue, which can cause severe tissue damage, but usually involves more than just a cord-like vein and reddened streak.
D. Infection: Infection typically presents with more systemic signs like fever and could involve purulent discharge, which is not described in this scenario.
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