EAQ Electrolyes

which clinical manifestation would the nurse expect to find in a client with hypokalemia?

anorexia and leg cramps

a client with the diagnosis of ulcerative colitis has surgery for the creation of an ileostomy. for which potential life-threatening complication would the nurse assess the client postoperatively?

fluid deficit and electrolyte imbalance

during a routine prenatal visit, a client tells the nurse that they often get muscle weakness and leg cramps. which condition would the nurse suspect, and which suggestion is made to correct the problem?

hypocalcemia; increase milk intake

a client who received tap water enemas until clear is at risk for developing which complication?

hypokalemia

which nursing action is the priority in the care of a young child with severe diarrhea?

maintaining fluid and electrolyte imbalance

which clinical manifestation will the nurse assess for in a client with a serum potassium level of 6.4?

muscle weakness, irregular heart rhythm, and hyperactive bowel sounds

a client is experiencing persistent vomiting, and serum electrolytes have been prescribed. the nurse would monitor which laboratory results?

sodium and chloride levels

which nursing assessment would be performed by a nurse before administering IV infusion of potassium chloride 40mEq in 100 mL of 5% dextrose and water to be infused over 2 hours?

urinary output, last serum potassium level, and patency of the intravenous access

which action would be most important for the nurse to take when caring for a client who started furosemide 2 days ago and has a serum potassium level of 2.8?

notify the primacy health care provider of the critically low result

a client with osteoporosis is encouraged to drink milk. the client refuses the milk, explaining that it causes gas and bloating. which calcium-rich food would the nurse suggest for clients who do not tolerate milk?

yogurt

which reason would an IV infusion of 5% dextrose with 0.45% sodium chloride and 20 mEq potassium be prescribed for a client with a NG tube set to low intermittent suction?

prevent electrolyte imbalance

which instruction would the nurse include in the teaching plan for a client with Cushing syndrome?

avoid foods high in salt, eat foods high in potassium

the nurse teaches a client with calcium-based renal calculi about foods that can be included in a low-calcium diet. the nurse concludes that the teaching is effective when the client selects which food items from the menu?

baked chicken, and roast beef with mashed potatoes

the nurse instructs a client that in addition to building bones and teeth, calcium is also important with which process?

blood clotting

which food would the nurse encourage the client to eat while receiving treatment to prevent hypokalemia?

broccoli

a client with a diagnosis of malabsorption syndrome exhibits a symptom of spastic muscle spasms. which electrolyte is responsible for this symptom?

calcium

when a client who is taking a diuretic has been instructed to eat foods high in potassium, which fruit would the nurse suggest?

cantaloupe

the nurse provides education for a client who has received a prescription for spironolactone. the information includes a correlation between potassium intake and the medication, and a list of fluids and their potassium content. the nurse concludes that the teaching is effective when the client plans to consume which type of juice?

cranberry

which meals are good sources of calcium?

cream of mushroom soup, mac and cheese, broccoli and milk. pea soup, roast chicken, mashed potatoes, creamed spinach and orange juice.

which disease increases the risk of hyperkalemia?

end-stage renal disease

To prevent an adverse outcome while providing care for a client experiencing diarrhea, which client data would the nurse closely monitor?

fluid and electrolyte balance

which clinical manifestation would the nurse expect the client who has CKD with hypocalcemia to exhibit?

fractures, osteomalacia, eye calcium deposits

when instructing a client to increase his or her potassium intake, which food would the nurse recommend?

orange

an older client is admitted to the hospital for rehydration therapy after 3 days of diarrhea. in addition to sodium, which electrolyte would the nurse be most concerned about?

potassium

which lab result is important to communicate quickly to the health care provider?

potassium 3.0

an infant with a diagnosis of heart failure is being given furosemide twice daily. which lab value would the nurse report to the health care provider?

potassium of 3.0

which diagnostic test will the nurse use to confirm the diagnosis when hypokalemia is suspected?

serum potassium level

which statement by a client receiving diuretic therapy indicates that the teaching about potassium supplements is understood?

"i will report any abdominal distress"

which nursing action has a specific gerontological implication the nurse must consider when caring for an older adult receiving chemotherapy for cancer whose severe nausea and vomiting causes dehydration requiring hospital admission for rehydration therapy?

assessment of skin turgor, administration of antiemetic medications, and replacement of fluid and electrolytes

a client with an acute episode of ulcerative colitis is admitted to the hospital. blood studies reveal that the chloride level is low. which would the nurse be prepared to administer to the client?

IV therapy

which method is an efficient way to correct decreased serum chloride levels found in a client with an acute episode of ulcerative colitis?

IV therapy

the registered nurse teaches a student nurse regarding the management of increased potassium levels in a client. which action performed by the student nurse indicates effective learning?

administering sodium polystyrene sulfonate