Sherpath exam 2 Part 8

The nurse completes education for a patient who will receive dialysis to treat an electrolyte imbalance. Which patient statement indicates the correct understanding of the information presented?

"Dialysis removes excess wastes and electrolytes from my body."

Which level of potassium, considered a medical emergency, requires immediate monitoring with cardiac telemetry? 5.1 mEq/L 2.1 mEq/L 4.1 mEq/L 3.5 mEq/L

2.1

Which patient potassium level would require the nurse to prepare for cardiac monitoring?

2.4 mEq/L

Which patients would benefit from treatment involving the administration of calcium supplement? Select all that apply. A 20-year-old young adult with no health problems A 55-year-old woman who has been through menopause A 79-year-old male patient who resides in a nursing home A marathon runner A 72-year-old female patient who does not take any supplements

A 55-year-old woman who has been through menopause A 79-year-old male patient who resides in a nursing home A 72-year-old female patient who does not take any supplements

Match the administration of potassium supplement with the appropriate nursing action.

Administer with juice Oral Teach the use of salt-substitutes Dietary Never administer by push or bolus. Intravenous

Which is the priority consideration for a nurse who is administering IV potassium to a patient who is experiencing acute hypokalemia?

Administering the solution slowly

Which advantage of cardiac telemetry should the nurse include in the teaching session for a patient diagnosed with an electrolyte imbalance who requires cardiac monitoring?

Allows the patient's cardiac activity to be monitored remotely without affecting the patient's mobility

What purpose of cardiac monitoring should the nurse include in a teaching session for patients diagnosed with electrolyte imbalances?

To monitor for cardiac dysrhythmias

The nurse is caring for a patient with known hyponatremia. Which are appropriate nursing interventions for the nurse to implement for this patient? Select all that apply. Administer potassium supplements. Increase oral fluid intake. Instruct the patient to avoid sports drinks and drink mostly plain water. Assist the patient to adhere to fluid restriction requirements. Monitor intake and output.

Assist the patient to adhere to fluid restriction requirements. Monitor intake and output.

The nurse is caring for a patient with known hyponatremia. Which are appropriate nursing interventions for the nurse to implement for this patient?

Assist the patient to adhere to fluid restriction requirements. Monitor intake and output.

Which would be an appropriate instruction for a patient experiencing hypermagnesemia?

Avoid taking antacids

Which foods should the nurse teach patients to avoid when diagnosed with hyperkalemia?

Broccoli Cabbage Bananas

Which foods should the nurse teach patients to avoid when diagnosed with hyperkalemia? Select all that apply. Broccoli Cheese Cabbage Bananas Milk

Broccoli Cabbage Bananas

Which intervention should the nurse include in the plan of care for a patient who is experiencing hypercalcemia? Calcium restriction Potassium restriction Phosphate restriction Magnesium restriction

Calcium restriction

Which foods should the nurse teach the patient to avoid when prescribed a low sodium diet for hypernatremia?

Canned Soup Sport Drinks Table Salt

Which concept should the nurse include in a teaching session for a patient requiring dialysis for the treatment of an electrolyte imbalance? Select all that apply. Dialysis may be needed as a result of decreased renal function. Dialysis is always long-term. Dialysis replaces lost potassium. Blood is drawn from the body and processed through a series of filters to remove wastes. Dialysis helps maintain normal fluid and electrolyte balance.

Dialysis may be needed as a result of decreased renal function. Blood is drawn from the body and processed through a series of filters to remove wastes. Dialysis helps maintain normal fluid and electrolyte balance.

Which concept should the nurse include in a teaching session for a patient requiring dialysis for the treatment of an electrolyte imbalance?

Dialysis may be needed as a result of decreased renal function. Blood is drawn from the body and processed through a series of filters to remove wastes. Dialysis helps maintain normal fluid and electrolyte balance.

What should the nurse monitor when providing care to a patient who is prescribed the prolonged use of IV normal saline (NS)?

Fluid volume excess

The nurse is providing education to a patient diagnosed with hypermagnesemia. Which food should the nurse teach the patient to avoid?

Green, leafy vegetables

Which patient would benefit from ECG monitoring due to an electrolyte imbalance?

Hypokalemia Hypocalcemia Hypomagnesemia

Which interventions should the nurse plan to implement for all patients diagnosed with electrolyte excesses? Select all that apply. Monitor ECG. Increase fluid intake. Monitor vital signs. Encourage physical activity. Monitor lab data.

Monitor ECG. Monitor vital signs Monitor lab data.

Match the electrolyte imbalance with the appropriate nursing intervention:

Monitor intake and output and restrict intake of processed foods. Hyperphosphatemia Monitor ECG and restrict intake of bananas and potatoes. Hyperkalemia Encourage oral fluid intake and physical activity. Hypercalcemia Assess deep tendon reflexes. Hypermagnesemia

What nursing actions should be implemented prior to a patient receiving a dialysis treatment?

Obtaining vital signs Assessing lab data Providing instruction about what the patient should expect

The nurse is providing care for a patient with a blood pressure of 80/40 mm Hg who is scheduled for dialysis later in the day. What should the nurse anticipate that the patient will need? Patient should receive renewed potassium supplements dosage. Patient needs IV fluid administration. Dialysis will need to be cancelled. The nurse should encourage oral fluid intake.

Patient needs IV fluid administration.

What is the purpose of dialysis? Correct electrolyte deficits Correct fluid imbalances Provide fluid and electrolyte balance Replace lost electrolytes

Provide fluid and electrolyte balance

What nursing action is appropriate for a patient experiencing continued hypokalemia despite a week of treatment? The patient's diuretic should not be taken until potassium levels are normal. Instruct the patient to avoid salt substitutes. Report laboratory values to the primary healthcare provider (PCP). The patient should be instructed to take potassium supplements with water only.

Report laboratory values to the primary healthcare provider (PCP).

Which electrolytes are critical to proper cardiac functioning? Select all that apply. Sodium Calcium Magnesium Phosphates Potassium

Sodium Potassium

Which electrolytes should the nurse include in a teaching session as those that are critical for proper cardiac functioning?

Sodium Potassium

Why are patients who are diagnosed with impaired renal function prescribed dialysis for the treatment of electrolyte imbalances? Dialysis is required because of the effect of electrolytes on the patient's cardiac activity. The kidneys are unable to excrete increased electrolytes. People with impaired renal function do not need to restrict electrolyte intake. People with impaired renal function always have fluid volume deficit.

The kidneys are unable to excrete increased electrolytes.

Cardiac telemetry monitoring is performed by which method? The nurse attaches the patient to a portable monitor and requests the patient to remain immobile. The nurse attaches to the patient's chest electrodes connected to a portable monitor which allows patient movement. A monitor must remain at the patient's bedside and the nurse must check the rhythm when assessing the patient. The patient has periodic EKGs performed and the results are sent to the physician.

The nurse attaches to the patient's chest electrodes connected to a portable monitor which allows patient movement.

A patient has a serum potassium level of 7.0 mEq/L and dialysis is ordered. Which should the nurse expect after the dialysis treatment?

The serum potassium concentration will decrease.

What purpose of cardiac monitoring should the nurse include in a teaching session for patients diagnosed with electrolyte imbalances? To prevent worsening of their imbalance To be able to monitor when an imbalance is improved To carefully monitor fluid status To monitor for cardiac dysrhythmias

To monitor for cardiac dysrhythmias