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Women’s Health Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

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Mara, a G1P0 female at 30 weeks gestation. On physical assessment, a blood pressure of 180/130 mm Hg was noted. Laboratory tests were conducted, revealing proteinuria of more than 5 grams in a 24-hour collection. History reveals that Mara was diagnosed with pre-eclampsia. The NP orders the administration of magnesium sulfate IV to prevent convulsions. The NP who is tasked ensures that which of the following medications is readily available as an antidote for magnesium sulfate toxicity?

  1. Naloxone
  2. Calcium gluconate
  3. Protamine sulfate
  4. Acetylcysteine
Explanation
Answer: B - Calcium gluconate is the antagonist or antidote for magnesium sulfate. Naloxone reverses the action of opioids, such as morphine. Protamine sulfate is the antidote for heparin overdose. N-acetylcysteine is the accepted treatment of acetaminophen overdose.
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