Exam 12: Clients with Electrolyte Imbalances

A client has been admitted with hypokalemia but all treatments have failed to raise the potassium level suitably. The nurse would assess the client further and report findings of

When giving IV potassium, the nurse takes the precaution of

A client has a low serum calcium level. During a bath the nurse cleans the client's face with a cloth, and the lips, nose, and side of the face contract. The nurse documents the presence of

A client who is scheduled for surgery the following day has preoperative electrolyte levels drawn. The nurse would notify the surgeon's office to report

A client has end-stage renal disease and is going to start dialysis this week. The nurse is aware the client is at most risk for which electrolyte imbalance?

A client is being discharged from the hospital and will be taking oral potassium chloride. The nurse should teach the client to take this medication

The nurse preparing IV calcium chloride for a client with hypocalcemia should administer the drug in

An elderly client is transported to the emergency department from a local nursing home with a serum calcium level of 3.9 mEq/L. The client's family is upset and says "This is the second time this has happened since she got admitted to that home!" The best answer by the nurse is

A client has been admitted in a hypercalcemic crisis and the family is distraught. One family member grabs the nurse's hand and states "I just don't know what I'll do if he/she dies!" The best response by the nurse is

Physical assessment of a client with cardiac dysrhythmia reveals hypoactive bowel sounds, muscle weakness, dizziness, postural hypotension, shallow respirations, increased fatigue, and decreased tendon reflexes. The laboratory result consistent with these findings is

Self-care teaching for a client with hypercalcemia should include

The factor in the client's history that the nurse assesses as a risk for the development of hypermagnesemia is

The nurse caring for a client taking thiazide diuretics should be sure to observe for

A client is hypokalemic and the physician leaves an order for the nurse to infuse a bolus of 30 mEq of potassium in 100 ml of NS over 30 minutes. The most appropriate action by the nurse is to

A nurse notes that a client has a "stat" order for sodium polystyrene sulfonate (Kayexalate). The nurse quickly checks serum laboratory results, anticipating

The nurse reviewing a client's serum electrolytes notes a phosphorus level of 1.0 mEq/L. The nurse will assess the client for a history of

A client has hypercalcemia and is admitted for a work-up. During the diagnostic period, which nursing intervention(s) would be most important to add to the care plan? (Select all that apply.)

The nurse is instructing a client to eat foods that are high in potassium, such as (Select all that apply)

A client has a magnesium deficit in addition to congestive heart failure (CHF). The most appropriate nursing diagnosis is

A client is being discharged after successful treatment for hyperphosphatemia. The nurse would know that diet teaching has been effective when the client says, "I can't eat large amounts of