Management Principles and Nursing Interventions
Management Principles and Nursing Interventions ( 8 Questions)
A nurse is monitoring a client with HELLP syndrome for signs of magnesium toxicity.
Which of the following assessments would indicate the need for calcium gluconate as an antidote?
Magnesium toxicity can cause neuromuscular blockade and respiratory depression, which can be reversed by calcium gluconate as an antidote.
Brisk tendon reflexes is wrong because magnesium toxicity usually causes diminished or absent reflexes.
Hypertension is wrong because magnesium toxicity usually causes hypotension.
Proteinuria is wrong because magnesium toxicity does not affect urine protein levels. Proteinuria is a sign of preeclampsia, not magnesium toxicity.
Loss of reflexes. This is because magnesium toxicity can cause neuromuscular blockade and respiratory depression, which can be reversed by calcium gluconate as an antidote.
Choice B. Brisk tendon reflexes is wrong because magnesium toxicity usually causes diminished or absent reflexes.
Choice C. Hypertension is wrong because magnesium toxicity usually causes hypotension.
Choice D. Proteinuria is wrong because magnesium toxicity does not affect urine protein levels. Proteinuria is a sign of preeclampsia, not magnesium toxicity.