You are caring for a patient with a secondary diagnosis of hypermagnesemia. What would you assess this patient for?
A) Hypertension
B) Kussmaul respirations
C) Increased DTRs
D) Shallow respirations
Ans: D
Feedback: Patients at risk for hypermagnesemia are identified and assessed. If hypermagnesemia is suspected, the nurse monitors the vital signs, noting hypotension and shallow respirations. The nurse also observes for decreased DTRs and changes in the level of consciousness. Option A is incorrect; you would not monitor a patient with hypermagnesemia for hypertension. Option B is incorrect; Kussmaul breathing is a deep and labored breathing pattern associated with severe metabolic acidosis, particulary diabetic ketoacidosis (DKA) but also renal failure. Option C is incorrect; this type of patient is associated with decreased DTRs not increased DTRs.
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