Medical Surgical Magnesium Mg+ #4

Question

A client has a history of taking over-the-counter magnesium supplements. Which finding would indicate to the nurse that the client is experiencing hypermagnesemia?

Answers

  1. Tetany
    • Rationale:

      This answer is not correct because tetany is not a symptom of hypermagnesemia. Clinical manifestations associated with hypermagnesemia include dyspnea, fatigue, nausea, muscle weakness, and vomiting.

  2. Hypertension
    • Rationale:

      This answer is not correct because hypertension is not a symptom of hypermagnesemia. Clinical manifestations associated with hypermagnesemia include dyspnea, fatigue, nausea, muscle weakness, and vomiting.

  3. Hyperreflexia
    • Rationale:

      This answer is not correct because hyperreflexia is not a symptom of hypermagnesemia. Clinical manifestations associated with hypermagnesemia include dyspnea, fatigue, nausea, muscle weakness, and vomiting.

  4. Paralytic ileus
    • Rationale:

      This answer is correct because hypermagnesemia can negatively impact peristalsis resulting in a paralytic ileus. Other clinical manifestations associated with hypermagnesemia include dyspnea, fatigue, nausea, muscle weakness, and vomiting.

Overview

Hypermagnesemia refers to an excess amount of magnesium in the bloodstream. It is rare and is usually caused by renal failure or poor kidney function.

Explanation

Learning Outcomes

This electrolyte imbalance is rare and usually caused by poor kidney function or kidney failure. Clinical manifestations associated with hypermagnesemia include dyspnea, fatigue, nausea, muscle weakness, and vomiting. In addition to these manifestations, hypermagnesemia can also cause the client to experience paralytic ileus (i.e., a condition in which the muscles of the intestines do not allow food to pass through, resulting in a blocked intestine).

Test Taking Tip

Consider the function of magnesium within the body to answer this question correctly.

Video Rationale