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concept of nursing 2
alterations of electrolyte balance
| Question | Answer |
|---|---|
| Which serum sodium concentration should the nurse identify as hyponatremia? | 130 mEq/L |
| Which serum sodium concentration should the nurse identify as hypernatremia? | 150 mEq/L |
| Which factors should the nurse identify as increasing a patient’s risk for hypovolemic hyponatremia? | -Diuretics -Emesis -Diarrhea |
| Which data should the nurse identify as placing a patient at risk for hypovolemic hyponatremia? | Profuse diaphoresis |
| Which disease process should the nurse identify as the cause of the patient’s serum potassium concentration of 5.3 mEq/L? | Severe infections |
| Which medical order should the nurse question for a patient experiencing hypokalemia? | Loop diuretic prescription |
| Which serum potassium concentrations would the nurse identify as hyperkalemia in the patient’s medical record? | -5.1 mEq/L -5.5 mEq/L |
| Which drug classification should the nurse identify as a cause of hyperkalemia? | ACE inhibitors |
| Which nursing statement is accurate when providing education to a post-menopausal patient who is at risk for hypercalcemia? | “It is important for us to monitor your serum parathyroid levels.” |
| Which serum calcium concentrations should the nurse identify as abnormal? | -7.9 mg/dL -8.4 mg/dL -10.6 mg/dL |
| Which should the nurse identify as a primary cause of hypocalcemia? | Protein depletion |
| Which items found during the review of a medical history should the nurse identify as risk factors for hypocalcemia? | -Inadequate dietary intake -Hypomagnesemia -Hypoparathyroidism |
| The nurse is providing care to a patient who is diagnosed with hypomagnesemia. Which cause for this condition should the nurse include in the patient teaching? | Loop diuretics |
| Which finding in the patient’s medical history necessitates the nurse to provide education related to hypermagnesemia? | Leukemia |
| A patient is diagnosed with hypermagnesemia related to an increased intake of magnesium. Which topic should the nurse include when providing patient education regarding the cause of the condition? | -Antacid use -Magnesium-containing laxatives |
| When conducting patient education related to the causes of hypermagnesemia, which cause should the nurse include in the teaching session? | Renal failure |
| A patient is diagnosed with hypophosphatemia caused by an increased excretion of phosphate. Which probable cause for this condition should the nurse include in the teaching session with the patient? | Diabetic ketoacidosis |
| A patient is diagnosed with drug-related hyperphosphatemia. Which type of drug should the nurse include in the teaching session as the cause of the current diagnosis? | Cathartics |
| Which causes, related to poor intake of phosphate, should the nurse include in a teaching session for a patient who is diagnosed with hypophosphatemia? | -Phosphate-binding antacids -Alcoholism -Malabsorption syndrome |
| Which should the nurse include in a patient-teaching session as the most common cause for hyperphosphatemia? | - Poor kidney function |