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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 B

Explanation

A. Serum potassium 4.8 mmol/L: This is a normal potassium level (3.5–5.0 mmol/L) and indicates successful treatment.

B. Serum glucose 58 mg/dL: IV insulin drives potassium into cells, lowering serum potassium. However, insulin also lowers blood glucose, which can lead to hypoglycemia (glucose <70 mg/dL). Hypoglycemia is the primary adverse effect of IV insulin therapy.

C. Serum sodium 138 mEq/L: This is a normal sodium level (135–145 mEq/L) and not an adverse effect.

D. Calcium level of 100 mg: Calcium is not directly affected by IV insulin therapy.

A. Administer scheduled medications B. Explain that dialysis occurs via the peritoneum C. Weigh the client to determine a baseline for comparison D. Obtain a serum creatinine to determine kidney function

Correct Answer is C

Explanation

A. Administer scheduled medications: Some medications (e.g., antihypertensives, water-soluble vitamins, and antibiotics) should be held before dialysis to prevent removal during treatment.

B. Explain that dialysis occurs via the peritoneum: This describes peritoneal dialysis, not hemodialysis.

C. Weigh the client to determine a baseline for comparison: Pre-dialysis weight is crucial to determine fluid removal needs during dialysis. Weight differences before and after dialysis indicate fluid loss or retention.

D. Obtain a serum creatinine to determine kidney function: Serum creatinine levels are monitored regularly but are not a required step before every dialysis session.

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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

A nurse is caring for a client who has hyperkalemia and is to receive intravenous insulin. Which of the following should the nurse recognize as an adverse outcome?

Correct Answer is B

Explanation

A client is to have hemodialysis. What must the nurse do before this treatment?

Correct Answer is C

Explanation

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