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Practice Question

Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. The nurse notifies the physician of Mr. Anderson's oliguria, and new orders are placed. At 1530, Mr. Anderson still has no further urine output. A bladder scan shows approximately 50 mL of urine in the bladder. Based on Mr. Anderson's updated profile, which medications does the nurse anticipate administering? Select all that apply.

Answer Choices:

Correct Answer:

Magnesium sulfate

Rationale:

🌡️Prolonged vomiting can lead to magnesium depletion, and since Mr. Anderson has been vomiting for three days, magnesium sulfate is indicated to correct hypomagnesemia.

💓Oliguria from acute kidney injury increases the risk of hyperkalemia, which can cause life-threatening dysrhythmias, so calcium gluconate is administered to stabilize cardiac membranes.

🩸Administering magnesium sulfate also helps stabilize smooth muscle and can reduce potential arrhythmias in the setting of electrolyte imbalance.

⚠️Avoiding potassium‐containing medications is critical because impaired renal excretion worsens hyperkalemia, making calcium gluconate the priority for cardiac protection.

📌Core Message

Correcting hypomagnesemia and using calcium gluconate to protect cardiac function are essential in AKI with ongoing vomiting.

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This question is from NCLEX PN-Practice Exam-1 which contains 130 questions.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer.
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NCLEX PN-Practice Exam-1

130 Questions

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Question Details
  • Category: NCLEX PN
  • Subcategory: NCLEX-PN Practice Exams
  • Domain: NCLEX-PN (Practice Exams)
  • Answer Choices: 5
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