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What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?

Magnesium sulfate

Kayexalate

Acetaminophen

Diazepam

Answer and Explanation

The Correct Answer is D

A. Magnesium sulfate: Magnesium sulfate is used for eclampsia and torsades de pointes, not for reducing shivering.

B. Kayexalate: This medication is used for hyperkalemia, not temperature control.

C. Acetaminophen: While useful for fever, acetaminophen does not stop shivering.

D. Diazepam: Shivering increases metabolic demand and body temperature. Diazepam (a benzodiazepine) is a muscle relaxant that helps control shivering in hyperthermic clients.

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Correct Answer is A

Explanation

A. Chloride level would be decreased: Metabolic alkalosis is often associated with hypochloremia, especially when caused by vomiting or diuretics. However, hypokalemia is more clinically significant.

B. Sodium level would be elevated: Sodium levels are not directly affected by metabolic alkalosis.

C. Magnesium level would be elevated: Magnesium levels are not significantly altered in metabolic alkalosis.

D. Potassium level would be decreased: A bicarbonate level of 30 mEq/L indicates metabolic alkalosis. In alkalosis, hydrogen ions shift out of the cells, and potassium moves into the cells, leading to hypokalemia.

A. Fluid will be pushed in the interstitial spaces B. Fluid will be pulled out of the cells and into the blood stream. C. Fluid will be pushed out of the blood stream into the extravascular spaces. D. Fluid will be pulled out of the bloodstream into the cells

Correct Answer is B

Explanation

A. Fluid will be pushed into the interstitial spaces. Hypertonic solutions draw water into the bloodstream, not into tissues.

B. Fluid will be pulled out of the cells and into the bloodstream: Hypertonic solutions (e.g., 3% NaCl, D10W) have a higher osmolarity than blood plasma. This pulls fluid from cells into the intravascular space, causing cell shrinkage and increasing blood volume.

C. Fluid will be pushed out of the bloodstream into extravascular spaces. This describes a hypotonic solution’s effect.

D. Fluid will be pulled out of the bloodstream into the cells. This describes an isotonic or hypotonic effect.

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What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?

Correct Answer is A

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Correct Answer is B

Explanation

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