Hey you, what cha'
gonna do?
gonna do?
A client is prescribed an antacid for dyspepsia. What electrolyte imbalance is the nurse most concerned about in this client?
Ca+ (antacids can cause hypocalcemia)
The nurse is admitting an 81 year old male with confusion, tachycardia, and hypotension. What is the first lab the nurse should check?
Na+
What specific electrolyte will the nurse monitor in a client with fever, restlessness, edema, a BP of 162/94 and dry mouth?
Na+ (hyper)
What diet information will the nurse instruct the client to avoid if admitted with hypernatremia?
Canned goods, chips, sodas, processed meats, prepackaged/boxed foods, pickles, jerky, etc.
What is a priority action by the nurse before administering IV Magnesium?
Assess respiratory rate
What labs will the nurse monitor in a client exhibiting facial tremors and muscular cramping in the hands?
Ca+ and Mg+
What specific electrolyte will the nurse monitor in a client who is irritable, muscle cramps, hypoactive reflexes, and a BP of 88/56?
K+ (hypo)
What diet information will the nurse instruct the client to avoid if admitted with hypercalcemia?
Dairy products, green leafy vegetables, seeds, and cereal
Name 2 important nursing interventions prior to the nurse administering K+ runs to a client.
Obtain a pre- & post-administration K+ level and place the client on telemetry.
What lab would the nurse check before administering LR to a cardiac client for fluid replenishment?
PH, needs to be below 7.5
What specific electrolyte will the nurse monitor in a client with an O2 sat between 87%-96%, BP of 86/56, and tingling to the arms and legs?
Ca+ (hypo)
<O2 sat is indicative of a bronchospasm
The nurse will instruct the client to limit _____ if admitted with severe hyponatremia?
Water, because more volume (water)=lower concentrations (sodium) (Fluid Restriction)
What is the nurse's priority action if a client admitted with hypocalcemia begins to vomit?
Raise the HOB to at least 45* to prevent aspiration pneumonia
What lab will the nurse monitor for an inverse relationship with hyponatremia?
K+
What specific electrolyte will the nurse monitor in a client with with mood changes, vomiting, and a BP of 170/98?
Mg+ (hypo)
When discharging a client admitted with hypercalcemia, what rationale will the nurse provide when the client asks "Why do I have to check my heart rate and blood pressure at home"?
Because hypercalcemia can cause bradycardia and hypertension. If the client notices any changes in HR or BP, they need to notify the HCP or go to the ER, depending how low HR is or high BP is.
A client receiving feedings via a NG tube begins to have dysrhythmias on the telemetry monitor. What is a priority action by the nurse for this client?
Review the most recent K+ level.
What class of medications will the nurse likely hold on a client admitted with hyperkalemia?
ACE inhibitors
What specific electrolyte will the nurse monitor in a client with muscle weakness, tachycardia, and tetany?
P+ (hyper)
The nurse is providing discharge instructions to a client admitted with hypocalcemia who asks why they need to contact 911 for excessive bleeding?
Because hypocalcemia can cause impaired clotting