Ranges & Diagnostic Testing
Normal serum concentration is
1.3-2.3 mEq/L
List at least 3 signs and symptoms of hypermagnesemia
Nausea/vomiting, weakness, flushing, lethargy, loss of deep tendon reflexes, respiratory depression, coma, cardiac arrest
Nursing interventions for the correction of hypo/hypermagnesemia could be
A. Education on dietary intake
B. Administration of oral supplements
C. Administration of IV fluids
D. All of the above
All of the above.
Magnesium plays a role in
Neuromuscular function.
The nurse is caring for a client who is receiving IV Magnesium sulfate. Which assessment parameter is critical?
A. Monitoring 24-hr urine output.
B. Asking if client feels depressed.
C. Hourly deep tendon reflexes (DTRs)
D. Monitoring serum calcium levels.
Hourly DTRS.
<1.3 is?
Hypomagnesemia
The _______ of magnesium may occur with renal failure when the kidneys fail to excrete magnesium or from the excessive intake of ________ or antacids containing magnesium.
excess, laxatives
Magnesium can cause cardiac arrhythmias, and what nursing intervention should be performed?
Monitor cardiac rate and rhythm.
What is magnesium reliable for?
A. Skeletal muscle contraction
B. Carbohydrate metabolism
C. Protein synthesis
D. All the above
All the above.
The source of magnesium for the body is through ___________, which is usually around 30mg per day.
Dietary intake.
The lab tests the blood ________ level of magnesium.
serum
Nasogastric suction, diarrhea, the withdrawl of alcohol, administration of tube feedings or parenteral nutrition, sepsis, or burns all may occur with the _______of magnesium, or what is known as ________
loss, hypomagnesemia
Teach the client about any medications prescribed to treat hypo/hypermagnesemia. Medication teaching should include. Select all that apply.
A. drug name
B. dosage
C. side effects
D. administration instructions.
E. purpose of why they need it
drug name, dosage, side effects, administration instructions, and purpose.
Magnesium acts on the cardiovascular system, producing what type of effect?
Vasodilation
Nursing assessments related to electrolyte balance should include. Select all that apply.
A. labs
B. history
C. do they love sports
D. physical assessment
labs, history, physical assessment
>2.3 is
Hypermagnesemia
Who is our favorite fundamental's teacher
Dr. Taylor
The nurse will teach the _______and ______the signs and symptoms of high and low magnesium levels and risk factors.
client and family
Magnesium plays a function in DNA. Is this true or false.
True. It acts as a co-factor for several enzymes, and therefore plays an important role in cellular processes such as transcription of DNA.
Which foods are high in magnesium?
A. nuts
B. water
C. orange juice
D. dark chocolate
nuts, orange juice, and dark chocolate
2.0 is within?
Normal range
List at least 3 signs and symptoms of hypomagnesemia
muscle weakness, tremors, tetany, seizures, heart block, AMS, hyperactive deep tendon reflexes, respiratory paralysis
A nurse is providing education for a client who has severe hypomagnesemia and is prescribed magnesium sulfate PO. Which of the following information should the nurse include in the teaching?
A. Avoid green, leafy veggies
B. Report diarrhea
C. You need a prescription thiazide diuretic to take with it
D. Eliminate whole grains from your diet.
Report diarrhea.
This is a potential adverse reaction of taking PO Magnesium, which can worsen the client's hypomagnesemia.
Magnesium metabolizes protein and __________
Carbohydrates.
Would the nurse recommend orange juice as a dietary supplement for magnesium?
Yes, the average 124g provides 13.6mg of magnesium