Magnesium in the Body

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Questions and Answers

What is the most severe consequence of hypermagnesemia levels greater than 12 mg/dL?

  • Decreased respiratory rate
  • Hypotension
  • Cardiac arrest and death (correct)
  • Muscle flaccid paralysis

Which of the following tests is NOT recommended for diagnosing hypermagnesemia?

  • Serum blood magnesium test
  • Chest X-ray (correct)
  • Urinary output monitoring
  • Basic metabolic panel (BMP) or comprehensive metabolic panel (CMP)

What is the primary effect of high magnesium levels (10 mEq/L or greater) on the neuromuscular system?

  • Muscle weakness and loss of deep tendon reflexes (correct)
  • Paralysis of the diaphragm
  • Increased deep tendon reflexes
  • Muscle spasms

What is the first step in treating a client with mild hypermagnesemia?

<p>Eliminate intake of magnesium through sources such as supplements, laxatives, or antacids (B)</p> Signup and view all the answers

Which electrolyte disturbance may occur if a client with hypermagnesemia is receiving IV diuretics?

<p>Hyponatremia (C)</p> Signup and view all the answers

What is the purpose of cardiac monitoring for a client receiving treatment for severe hypermagnesemia?

<p>To detect any changes in the client's heart rhythm due to the hypermagnesemia (A)</p> Signup and view all the answers

Which of the following is a common symptom of hypermagnesemia that may be present?

<p>Flushing (C)</p> Signup and view all the answers

Why is it important to perform repeat laboratory tests after treating a client for severe hypermagnesemia?

<p>Both a and b (B)</p> Signup and view all the answers

What is the primary role of magnesium in the body?

<p>To regulate nerve and muscle function (D)</p> Signup and view all the answers

Where is the majority of the body's magnesium stored?

<p>In the bones (C)</p> Signup and view all the answers

How can magnesium be obtained in the diet?

<p>Both A and B (D)</p> Signup and view all the answers

What is the recommended daily allowance (RDA) for magnesium intake for adult males?

<p>400 to 420 mg/day (C)</p> Signup and view all the answers

What is considered a hypomagnesemic level of magnesium in the body?

<p>Less than 1.3 mEq/L (D)</p> Signup and view all the answers

How is magnesium eliminated from the body?

<p>Through urine and feces (B)</p> Signup and view all the answers

Which condition is NOT a potential cause of hypomagnesemia?

<p>Hyperkalemia (A)</p> Signup and view all the answers

Which medication class is mentioned as potentially leading to magnesium loss?

<p>Diuretics (D)</p> Signup and view all the answers

At what approximate magnesium level do clinical signs of hypomagnesemia typically begin to occur?

<p>&lt; 1.2 mg/dL (B)</p> Signup and view all the answers

Which food mentioned in the text is NOT a good source of magnesium?

<p>Broccoli (B)</p> Signup and view all the answers

Which statement about hypermagnesemia is TRUE?

<p>Kidney disease is the most common cause. (B)</p> Signup and view all the answers

Which neurological symptom may occur with severely elevated magnesium levels?

<p>Blurred vision (A)</p> Signup and view all the answers

What is the most severe consequence of hypermagnesemia levels greater than 12 mg/dL?

<p>Cardiac arrest and death (C)</p> Signup and view all the answers

Which statement about hypermagnesemia is TRUE?

<p>Hypermagnesemia can be treated by decreasing magnesium intake and promoting urination. (B)</p> Signup and view all the answers

Which neurological symptom may occur with severely elevated magnesium levels?

<p>Decreased deep tendon reflexes (B)</p> Signup and view all the answers

What is the primary effect of high magnesium levels (10 mEq/L or greater) on the neuromuscular system?

<p>Decreased deep tendon reflexes and muscle weakness (B)</p> Signup and view all the answers

Which of the following is a common symptom of hypermagnesemia that may be present?

<p>Constipation (D)</p> Signup and view all the answers

Which of the following tests is NOT recommended for diagnosing hypermagnesemia?

<p>Liver function test (D)</p> Signup and view all the answers

Why is it important to perform repeat laboratory tests after treating a client for severe hypermagnesemia?

<p>All of the above (D)</p> Signup and view all the answers

Which medication class is mentioned as potentially leading to magnesium loss?

<p>Diuretics (A)</p> Signup and view all the answers

What is the first step in treating a client with mild hypermagnesemia?

<p>Eliminate intake of magnesium sources (D)</p> Signup and view all the answers

Which of the following is NOT a potential cause of hypomagnesemia?

<p>Hypermagnesemia (B)</p> Signup and view all the answers

What is the expected reference range for magnesium levels in the body?

<p>1.3 to 2.1 mEq/L (B)</p> Signup and view all the answers

What percentage of the body's store of magnesium is typically found in the bones?

<p>50% to 60% (D)</p> Signup and view all the answers

Which of the following is NOT a common method of magnesium intake as mentioned in the text?

<p>Magnesium-rich water (B)</p> Signup and view all the answers

What is the RDA for daily intake of magnesium for adult women?

<p>310 to 320 mg/day (A)</p> Signup and view all the answers

Which electrolyte disturbance occurs when magnesium levels fall below 1.3 mEq/L?

<p>Hypomagnesemia (A)</p> Signup and view all the answers

In what range do critical values for magnesium levels fall as mentioned in the text?

<p>&lt; 0.5 mEq/L or &gt; 3 mEq/L (A)</p> Signup and view all the answers

Which of the following is NOT a potential cause of hypomagnesemia mentioned in the text?

<p>Dehydration (A)</p> Signup and view all the answers

What is the recommended treatment for a client experiencing moderate manifestations of hypomagnesemia?

<p>Oral magnesium replacement (B)</p> Signup and view all the answers

Which of the following is a potential side effect of intravenous administration of magnesium?

<p>Flushing and sweating (D)</p> Signup and view all the answers

What is the most common cause of hypermagnesemia?

<p>Acute or chronic kidney disease (C)</p> Signup and view all the answers

At what approximate magnesium level do clinical signs of hypermagnesemia typically begin to occur?

<p>Above 7 mg/dL (C)</p> Signup and view all the answers

Which of the following is a potential consequence of untreated severe hypermagnesemia (levels greater than 12 mg/dL)?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following foods is NOT a good source of dietary magnesium according to the text?

<p>Tomatoes (C)</p> Signup and view all the answers

Which of the following medications is NOT mentioned in the text as potentially leading to magnesium loss?

<p>Antidepressants (A)</p> Signup and view all the answers

What is the purpose of performing an ECG in a client with suspected hypermagnesemia?

<p>To monitor for cardiac dysrhythmias (D)</p> Signup and view all the answers

Which of the following is a recommended approach for managing a client with severe hypermagnesemia?

<p>Monitoring for and correcting any concurrent electrolyte imbalances (A)</p> Signup and view all the answers

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