Alterations of Electrolyte Balance

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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." "It is important for you to increase your dietary intake of calcium." "It is important for us to monitor your serum magnesium levels." "It is important for you to increase your dietary intake of vitamin D."

"It is important for us to monitor your serum parathyroid levels." A post-menopausal patient has an increased risk for hyperparathyroidism, which is the primary cause for hypercalcemia for this population.

Which serum sodium concentration should the nurse identify as hyponatremia? 130 mEq/L 135 mEq/L 140 mEq/L 145 mEq/L

130 mEq/L Hyponatremia is a serum sodium concentration that is less than 135 mEq/L.

Which serum sodium concentration should the nurse identify as hypernatremia? 135 mEq/L 140 mEq/L 145 mEq/L 150 mEq/L

150 mEq/L Hypernatremia is a serum sodium concentration that is greater than 145 mEq/L.

Which serum potassium concentrations would the nurse identify as hyperkalemia in the patient's medical record? (SATA) 2.5 mEq/L 3.0 mEq/L 4.6 mEq/L 5.1 mEq/L 5.5 mEq/L

5.1 mEq/L 5.5 mEq/L

Which serum calcium concentrations should the nurse identify as abnormal? (SATA) 7.9 mg/dL 8.4 mg/dL 9.0 mg/dL 10.0 mg/dL 10.6 mg/dL

7.9 mg/dL 8.4 mg/dL 10.6 mg/dL

Which drug classification should the nurse identify as a cause of hyperkalemia? Corticosteroids Chemotherapeutics Loop diuretics ACE inhibitors

ACE inhibitors ACE inhibitors is a drug classification that can cause hyperkalemia.

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? (SATA) Adrenal insufficiency Leukemia Poor renal function Antacid use Magnesium-containing laxatives

Antacid use Magnesium-containing laxatives

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 Phosphate-binding antacids Loop diuretics Thiazide diuretics

Cathartics Cathartics, a classification of laxatives, is a cause for hyperphosphatemia.

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? Phosphate-binding antacids Diabetic ketoacidosis Alcoholism Malabsorption syndrome

Diabetic ketoacidosis Diabetic ketoacidosis is a cause for hypophosphatemia that is related to increased excretion of phosphate.

Which factors should the nurse identify as increasing a patient's risk for hypovolemic hyponatremia? (SATA) Diuretics Emesis Diarrhea Dehydration Fever

Diuretics Emesis Diarrhea

Which items found during the review of a medical history should the nurse identify as risk factors for hypocalcemia? (SATA) Inadequate dietary intake Overproduction of parathyroid hormone Hypomagnesemia Extended immobilization Hypoparathyroidism

Inadequate dietary intake Hypomagnesemia Hypoparathyroidism

Which finding in the patient's medical history necessitates the nurse to provide education related to hypermagnesemia? Crohn's disease Alcoholism Leukemia Diabetic ketoacidosis

Leukemia Leukemia is one cause associated with the development of hypermagnesemia.

Which medical order should the nurse question for a patient experiencing hypokalemia? Aldosterone prescription Calcium supplement Potassium supplements Loop diuretic prescription

Loop diuretic prescription Loop diuretics are a known cause for hypokalemia.

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? Constipation Loop diuretics Antacids with added magnesium Renal failure

Loop diuretics Loop diuretics is one cause for hypomagnesemia the nurse should include in the teaching session for a patient with hypomagnesemia.

Which causes, related to poor intake of phosphate, should the nurse include in a teaching session for a patient who is diagnosed with hypophosphatemia? (SATA) Phosphate-binding antacids Loop diuretics Diabetic ketoacidosis Alcoholism Malabsorption syndrome

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 Decreased phosphate intake Excessive parathyroid hormone Decreased vitamin D intake

Poor kidney function Poor kidney function is a cause for hyperphosphatemia.

Which data should the nurse identify as placing a patient at risk for hypovolemic hyponatremia? Profuse diaphoresis Water intoxication Hypotonic IV solution Excess fluid intake

Profuse diaphoresis Profuse diaphoresis is a risk factor for hypovolemic hyponatremia.

Which should the nurse identify as a primary cause of hypocalcemia? Protein depletion Breast cancer Immobilization Excessive intake of vitamin D

Protein depletion Protein depletion is a primary cause of hypocalcemia.

When conducting patient education related to the causes of hypermagnesemia, which cause should the nurse include in the teaching session? Renal failure Laxative abuse Loop diuretics usage Gastric suctioning

Renal failure Renal failure is a primary cause of hypermagnesemia.

Which disease process should the nurse identify as the cause of the patient's serum potassium concentration of 5.3 mEq/L? Anorexia Alcoholism Hyperaldosteronism Severe infections

Severe infections Severe infections, causing the release of intracellular potassium, are a cause of hyperkalemia.


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