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Electrolytes Nclex

Nclex

QuestionAnswer
Effects of hyponatremia on respiratory system shallow, innefective respiratory movements as a late manifestations r/t skeletal muscle weakness
Effects of hyponatremiia on neuromuscular system generalized skeletal muscle weakness that is worse in the extremeties
Effects of hyponatremia on cerebral function headache,personality changes
Effects of hyponatremia on GI system a. Increased motilty and hyperactive bowels sounds b Nausea c. Ab cramping and diarrhea
If the client is taking lithium for hyponatremia, why should yu monitor lithium levels? Hyponatremia can cause diminished lithium excretion, resulting in toxicity
What are four conditions that cause decreased sodium excretion can result in hypernatremia? a. corticosterods b. Cushing syndrome c. renal failure d. hyperaldosternism
Effects of hypernatrema on neuromuscular system: a. Early: sponataneous muscle twitches; irregular muscle contractions b.Late: skeletal muscle weakness; deep tendon reflexes dimished or absent
Effects of hypernatremia on central nervous system: a. altered cerebral function is the most common manisfestation of hypernatremia
Effects of hypokalemia on cardiovascular system: a Thready, weak, irregular pulse b. peripheral pulses weak c. orthostatic hypotension d. EKG changes: ST depression; shallow, flat or inverted T wave; and prominent U wave
Effects of hypokalemia on respiratory system : a. Shallow, innefectiverespifrations that result from profound muscle weakness of the skeletal muscles of respration b. Diminished breath sounds
Effects of hypokalemia on neuromuscular system a. Anxiety, lethargy, confusion, coma b. Skeletal muscle weakness; eventual flaccid paralysis c. Loss of tactile discrimination d. deep tendon hyporeflexia
Effects of hypokalemia on GI system; a. decreased motility, hypoactive to absent bowel sounds b. Nausea, vomiting, constipation, abd distention
The max recommended infusion rate is ______ Never to exceed _____ under circumstances 5-10 mEq/hr 20 mEq/hr
Effects of hyperkalemia on respirtory system Profound weakness of the skeletal muscles causes respiratory failure
Effects of hyperkalemia on system: a.Early: muscle twitches,cramps, paresthesias b.Late: profound weakness, ascending flaccid paralysis in the arms and legs
Effects of hyperkalemia on GI system: a. Increased motility, hyperactive bowel sounds b. Diarrhea
If renal functon is impaired, prepare to administer Kayexalate exchange resin that promotes GI sodium absorption and potassum excretion
Effects of hypocalcemia on cardiovascular system a. decreased HR b hypotension c. diminished peripheral pulses d. Ekg changes: prolonged ST interval; prolonged QT intervals
Effects of hypocalcemia on neuromuscular system: a. Irritable skeletal muscles; twitches, cramps, tetany,seizures b. Parathesias followed by numbness that may affect the lips, nose, and ears in addition to the limbs c. Hyperactive deep tendon reflexes
Effect of hypocalcemia on GI system a. Increased gastric motility ; hyperactive bowel sounds
Effect of hypercalcema on cardiovascular system a. Increased HR in early phase, bradycardia that can lead to arrest in late phase c. Bounding, full peripheral pulses
Effects of hypercalcemia on resp system Innefective resp movemengt as a result of profound skeletal muscle weakness
Effects of hypercalcema on neuromuscular system a. Profound muscle weakness b. Diminished or absent deep tendon reflexes c. Disorientation, lethargy, coma
Effects of hypercalcemia on renal system a Increased urinary output leadng to dehydration b. Anorexia,nausea, abd distention, constipation
Effects of hypomagnesemia on neuromuscular system a. twitches :paresthesias b.positive trosseaus and chvosteks sign
hypocalcemia frquently accompanies hypomagnemesemia
Effects of hypermagnesemia on neuromuscular system a Diminished deep tendon reflexes b. Skeletal muscle weakness
Effects of hypermagnesemia on central nervous system drowsiness and lethargy that prgreaa to coma
A decrease in the serum phosphorous level is accompanied by a increase in the serum calcium level
Effects of hypophosphopatemia on neurmuscular system a.weakness b. decreased deep tendon reflexes c. decreased bne density that can cause fractures and alterations in bone shape
An increase in the serum phosphorous level is accompanied by a decrease in the serum calcium level
The problems that occur in hyperphosphatemia center on the hypocalcemia that results when serum phosphorous levels increase.
Created by: tko27girl
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