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Electrolyte Imbalance NCLEX Review questions catinaaccardiTop creator on Quizlet Save Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview Electrolyte NCLEX questions 20 terms melissa_griffin Preview NCLEX-style questions for Fluid & El...83 terms katra_schirmer Preview Ch. 40 15 terms hcp A nurse is caring for client who has a laboratory findings of serum Na 133 mEq/L and K 3.4 mEq/L. Which of the following treatments can result in these laboratory findings?
- Three tap water enemas
- 0.9% sodium chloride solution at 50 ml/hr
- 5% dextrose in water solution with 20 mEq of K IV at 80 ml/hr
- Administration of glucocorticoids
- ECG changes
- Constipation
- Polyuria
- Hypotension
A.Receiving three tap water enemas can result in a decrease in serum sodium and potassium in the client. Tap water is hypotonic, and gastrointestinal losses are isotonic. This creates an imbalance of solute dilution A nurse is caring for a client who has a laboratory finding of serum potassium 5.4 mEq/L. The nurse should assess which of the following clinical manifestations?
A.The nurse should assess the client for ECG changes. Potassium levels can affect the heart and result in arrhythmias
A nurse is caring for client who has a nasogastric tube attached to low intermittent suctioning. The nurse should monitor for which of the following electrolyte imbalances
- Hypercalcemia
- Hyponatremia
- Hyperphosphatemia
- Hypomagnesemia
- Hyponatremia
- Hypocalcemia
- Hypermagnesemia
- Hyperkalemia
- Hypocalcemia
B.The nurse should monitor the client for hyponatremia. Nasogastric losses are isotonic and contain sodium The nurse is caring for patient who is in renal failure. During shift assessment, the patient complains of tingling in her lips and fingers whenever anyone takes her blood pressure. She claims that she gets a spasm in her wrist and hand and that it is very painful. What would the nurse suspect?
Rationale: Tetany is the most characteristic manifestation of hypocalcemia and hypomagnesemia. Sensations of tingling may occur in the tips of the fingers, around the mouth, and less commonly in the feet. Hyponatremia and hyperkalemia are not associated with these signs and symptoms. Terms (4) Hide definitions
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