A nurse is caring for a client who is at risk for hypokalemia. The nurse plans care, anticipating that the kidneys also are retaining greater amounts of which substances? A. The client with which of the following drainage tubes is at an increased risk for hypokalemia?A. Assessing vital signs is important because the risk of cardiac arrhythmias could increase due to the client's receiving furosemide, which is a potassium-wasting diuretic. Attainment or progress toward desired outcome. Which of the following actions should the nurse take? a. Assess the patient’s neuromuscular status. Breathlessness D. Muscle weakness, Which laboratory result would The nurse reviews the medication record, knowing that which medication, if prescribed for this client, would place the client at risk for hypokalemia? and more. Indwelling catheter to gravityC. 0. A client with third degree burns [27%], The nurse is A nurse is assigned to care for four clients. Study with Quizlet and memorize flashcards containing terms like Clinical Manifestations of Fluid Volume Overload The nurse is caring for a client with heart failure. Which assessment findings would the nurse anticipate? Select all that apply. One, some, or all responses may be correct. com Studying hypokalemia and want to know how to remember hypokalemia and how it is different from hyperkalemia? In this article, I want to give you some super easy ways on how to remember the causes of hypokalemia, signs and symptoms, and the nursing interventions for this condition. The nurse has been assigned to care for various clients. Nephrostomy tube to drainage bagB. A nurse is caring for a client who has valvular heart disease and is at risk for developing left sided heart failure. 1° F) SaO2 97% on room air Today: Blood pressure 128/76 mm Hg Heart rate 104/min Respiratory rate 22/min Temperature 37. Warfarin d. Report a reduced urinary output to the health care provider. The client who has a tracheostomy tube attached to humidified oxygen b. NG tube to suction Check the client's laboratory values and vital signs. The nurse is caring for four hospitalized clients. A 36 year old who is prescribed long-term steroid therapy b. , A nurse is providing care for a client who has a new diagnosis of anxiety. On assessment, the nurse notes that the client has flat neck veins, generalized muscle weakness, and diminished deep tendon reflexes. , 2. The nurse reviews the client's record and determines that the client is at risk for developing the potassium deficit because of which situation? 1. The Study with Quizlet and memorize flashcards containing terms like the nurse who is caring for a client with kidney failure notes that the client is dyspneic, and crackles are heard on auscultation of the lungs. Urine output: 3 L/day d. , The nurse is caring for a client who has a peripheral IV in place for fluid replacement. Perform a fall risk assessment. The client's heart rate is 100/min, respiratory rate is 34/min, and the client reports numbness and tingling of the hands, A nurse is caring for a client who has hypokalemia. nutritional status b. Option 4 is related to hypocalcemia. 4 mg/dL (559 mmol/L) The nurse is taking care of a postsurgical client experiencing decreased appetite. Assist the client with ambulation. When the nurse is talking to the health care provider, which order can the nurse expect? Parenteral nutrition Clear liquid diet Enteral nutrition support Fat-restricted diet Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a prescription for gemfibrozil. 7° C (98. A 36 year old who is prescribed long-term steroid therapy. Which menu selection, cited by the client as a good source of potassium, indicates to the nurse that the client needs further instruction? A. Based on this Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the assignment for the shift and will be caring for the following clients. A 76 year old who is cognitively impaired. the results of this test will allow the nurse to assess which aspect of the client's health? a. What medication would be utilized to treat this condition?, A client has ARF and is receiving IV 1. Client’s responses to treatment, teaching, and actions performed. Follow the facility policy for infusion of potassium. Hypertonic b. Which of the following clients should the nurse recognize as being at risk for hypokalemia?, The nurse is caring for a patient with hyperphosphatemia and renal failure. Which client is at GREATEST risk for dehydration? a. The nurse is preparing to care for a client with a potassium deficit. Isotonic c. Soy milk D. Discontinue the PCA. the nurse's actions are an example of which of the following?, A nurse is providing education to the parent of an infant who is newly diagnosed with biliary atresia. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the plan of care includes assessment of specific gravity every four hours. which additional signs/symptoms should the nurse expect to note in this client? a) rapid weight loss b) flat hand and neck veins c) a weak and thready pulse d) an increase in blood Each finding may support more than alteration. WHY IS POTASSIUM SO IMPORTANT IN THE BODY Study with Quizlet and memorize flashcards containing terms like A client's kidneys are retaining increased amounts of sodium. Sodium: 136mEq/l b. The nurse should recognize that concurrent use of which of the following medications places the client at risk for digoxin toxicity? a. Which if the following manifestations should alert the nurse that the client is developing this condition? A. the client is experiencing excessive stools. The laboratory report indicates a serum calcium level of 12. A nurse is caring for four clients who have drainage tubes. Seek medical attention if you are experiencing vomiting or diarrhea for more than 24–48 hours. Pork C. Instruct the client to cough forcefully. What other . Which of the following clients will the nurse identify as being most at risk for fluid volume deficit? A. A 76 year old who is cognitively impaired D. Oct 15, 2022 · 1. Hypotonic d. "Clients with The client with Cushing's syndrome or colitis and the client who has been overusing laxatives are at risk for hypokalemia. Modifications to plan of care. The nurse should instruct the client to include which of the following foods in their diet to increase potassium intake?, A nurse is monitoring a client who is taking a loop diuretic and is experiencing a thready, irregular pulse, orthostatic hypotension, and confusion. The nurse should instruct the client that which of the following foods is the best source of calcium? A. Flat neck and hand veins and Study with Quizlet and memorize flashcards containing terms like Which intervention is a priority for the nurse when caring for a client with hypokalemia? A) Monitoring intake and output B) Monitoring hemoglobin and hematocrit C) Initiating cardiac monitoring D) Analyzing arterial blood gases (ABGs), Vitamin D, officially classified as a vitamin, functions as a hormone in the body. What additional signs would the nurse expect to note in a client with hyponatremia? 1. Potassium balance C Apr 16, 2019 · A doctor or nurse will usually monitor you during your stay to prevent hypokalemia from occurring. Potassium and magnesium depletion are common Study with Quizlet and memorize flashcards containing terms like A patient has been prescribed a 0. which of the following findings is an adverse effect of the medication?, a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. Aluminum and magnesium, A nurse is caring for a client with a nasogastric tube The nurse notes the catheter site is warm and painful to touch. What additional manifestations would the nurse expect to note in this client if excess fluid volume is present? A. ) Elevated sodium level B. Manifestations of hypokalemia include weak hand grip strength and weak deep-tendon reflexes. A client in renal failure [11%] C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who exhibits dehydration-induced confusion. A 55 year old who recently received intravenous fluids. The nurse will check the client's digoxin level and electrolytes. Measure intake and output every 4 hours. A. For each additional assessment finding, indicate if the finding is related to fluid volume overload or not related. The client who has a chest tube to water seal A nurse is caring for a client who has hypokalemia. The client's hemoglobin level is 8 g/dL. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with heart failure. Study with Quizlet and memorize flashcards containing terms like A client who has been receiving long-term diuretic therapy is admitted to the hospital with a diagnosis of dehydration. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is caring for four clients who have drainage tubes. d. Nephrostomy tube to drainage bag B. Verapamil c. " B. Additionally, psychiatric patients are at risk for hypokalemia due to disordered eating and drug side effects. Aluminum hydroxide The client is at greatest risk for developing dysthymia evidenced by Hypokalemia The nurse should assist to analyze cues to determine if the client is at greatest risk for developing dysrhythmias related to hypokalemia, as evidenced by the laboratory report and the client's report of muscle cramping. " C. Increase the IV flow rate to 250 mL/hr. The nurse should plan to monitor the client for hyporeflexia. "Sodium intake must be limited in hypertensive clients. A nurse is assigned to care for four clients. Skin rash 3. 9% NS IV fluids at 125mLs/hour C. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is prescribed desmopressin acetate. NG tube to suction Which information would the registered nurse provide to a student nurse about the importance of nursing documentation for risk management? - "A nurse documentation is the evidence of care that a client receives" -"Nurses notes would not be given to attorneys in the event of a lawsuit -"The nurse would note assessments and significant changes in the clients health" -"In case an occurrence Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is discussing the diet required for a client who takes a diuretic for hypertension and is at risk for osteoporosis. Which type of solution will the patient receive? a. E. Deficient fluid volume related to acute blood loss 2. The nurse should identify the client who has which of the following tubes as being at risk for hypokalemia?, An assistive personnel (AP) asks a nurse what precautions he should take when measuring the vital signs of a client who has pneumonia. 4° C (99. , Which clients are at risk for developing a potassium imbalance? Select all that apply. Apply oxygen by mask or nasal cannula. A client in diabetic ketoacidosis [12%] D. Weakness and b) Orthostatic hypotension The nurse should plan to monitor the client for orthostatic hypotension, which places him at risk for falls. Which of the following fluid or electrolyte imbalances should the nurse expect?, A nurse is reviewing the laboratory results of a client who has end-stage renal disease and reports fatigue. Which of the following acid-base imbalances should the nurse suspect? Study with Quizlet and memorize flashcards containing terms like A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. ) Elevated magnesium level D. Whole milk C. Risk for aspiration related to acute bleeding in the GI tract 3. The client who has diarrhea and is febrile The nurse should identify the client who has which of the following tubes as being at risk for hypokalemia? Steamed vegetables A nurse is caring for a client who is Hindu and adhere strictly to the traditional dietary laws of this religion. Place the client in a high-Fowlers position, A nurse is assessing Study with Quizlet and memorize flashcards containing terms like Which medical condition may cause hypokalemia?, The nurse is caring for a client with severe hyperkalemia. b. Which client is at greatest risk for dehydration? a. The nurse should explain that which of the following medications puts the clients at risk for both hyperkalemia and hyponatremia? A nurse is an outpatient mental health clinic is caring for a client Exhibit 1: Vital Signs 3 months ago Blood pressure 116/68 mm Hg Heart rate 82/min Respiratory rate 16/min Temperature 36. Chest tube to water seal D. The client with which of the following drainage tubes is at an increased risk for hypokalemia? A. See full list on nurseslabs. Related posts: 8-Step Guide to ABG Analysis: Tic-Tac-Toe Method; 10 Fluid And Electrolyte Imbalances Nursing Care Plans; Homeostasis, Fluids and Electrolytes NCLEX Practice What makes option 2 incorrect is the flat neck veins. , Cardiac Rhythm Changes Associated with Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is taking a diuretic. Diplopia 2. Which of the following actions should the nurse take?, A nurse is collecting data on a client who has diarrhea. , A nurse is caring for a client who has a sodium level of 155 mEq/L. Raisins Study with Quizlet and memorize flashcards containing terms like a school nurse has requested the school board remove a piece of playground equipment due to a documented increase in injuries that can be linked back to it. 0 mg/dl, a serum potassium level of 3. The nurse is caring for a client with heart failure who is receiving high doses of a diuretic. See Also. "This client should increase calcium intake. 2. The Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the EKG strip of a client who has prolonged vomiting. The nurse would monitor for which clinical manifestations of the electrolyte deficiency? Select all that apply. Which menu selection, cited by the client as a good source of potassium, indicates to the nurse that the client needs further instruction? A: Beef B: Raisins C: Eggs D: Pork Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. Almond milk B. Which dietary change requires additional teaching? Select all that apply. c. 45% saline intravenous solution for isotonic fluid volume deficit. A nurse instructs a client at risk for hypokalemia about the foods high in potassium that should be included in the daily diet. The client who has an indwelling urinary catheter to gravity drainage c. the client appears A nurse is caring for four clients who have drainage tubes. The results of this test will allow the nurse to assess which aspect of the client's health? A. Anorexia B. Provide calming interventions. Vomiting and diarrhea b. Calcium and Chloride B. A nurse is caring for a client who has a new prescription for digoxin and takes multiple other medications. Beef D. A 55 year old who recently received intravenous fluids c. May 10, 2024 · Plan of care. Indwelling catheter to gravity C. In acute care and long-term settings, fall risk scales are commonly utilized. Which of the following findings is a manifestation of hypokalemia?, A nurse is caring for a client who has a rectal temperature of 35° C (95° F). Leg cramps 4. The client is consistently consuming less than 50% of their protein and calorie goals. This condition is prevalent in hospitalized patients, particularly children and febrile and critically ill individuals. Which client is most at risk for hypokalemia? A. The nurse should instruct the newly licensed nurse to monitor which of the following laboratory tests?, The nurse is reinforcing teaching with a client who has a new prescription for hydrochlorothiazide 50 A nurse is giving a presentation about caring for clients who are receiving diuretic therapy to treat heart failure. Weight loss and dry skin B. The nurse should identify the client who has which of the following tubes as being at risk for hypokalemia? Steamed vegetables A nurse is caring for a client who is Hindu and adhere strictly to the traditional dietary laws of this religion. 005 c. Phenytoin b. D. On assessment, the nurse notes that the client is dyspneic, and crackles are audible on auscultation. Which of the following manifestations should the nurse expect? (Select all that apply. Osmolarity: 100 mOsm/kg, The nurse is educating the client newly diagnosed with type 2 diabetes on oral anti-diabetic medications. Which intervention should the nurse implement first? a. The nurse suspects hyponatremia. potassium balance c Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with teaching a client who is at risk for osteoporosis. Specific gravity: 1. Potassium and Phosphates D. What Study with Quizlet and memorize flashcards containing terms like A nurse is caring for four clients who have drainage tubes. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?, A nursing is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. Upon assessment, the nurse notes dyspnea and crackles bilaterally. The client who has been NPO since midnight for endoscopy B. Tachycardia 5. An 83 year Study with Quizlet and memorize flashcards containing terms like In planning a low-sodium diet for a client who has recently been diagnosed with heart failure, the nurse should offer the client which food item?, The nurse is creating a plan of care for a client receiving enteral feedings via a gastrostomy tube (G-tube). When caring for the client's IV site, the nurse should: A. The nurse is caring for a client experiencing acute lower gastrointestinal bleeding. The plan of care includes assessment of specific gravity every four hours. The client who has a chest tube to water seal The client's ABG results are pH 7. ensure that anticoagulants are placed on hold for the duration of IV therapy. Patients with hypokalemia require careful monitoring, especially with moderate-to-severe hypokalemia, with careful attention to their cardiac rhythm and respiratory function! Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a major burn injury and is experiencing third spacing. Eggs B. A client with hyperemesis gravidarum [51%] B. In developing the plan of care, which priority problem should the nurse assign to this client? 1. The client with an NG tube at low wall suction. Low-fat milk, A nurse is collecting data on a client who has chronic kidney disease. and more. 2 mEq/L. The nurse reviews the client's most recent laboratory results & finds the client's potassium level is 5. Nutritional status B. The nurse reviews the client's record and determines that the client is at risk for developing the potassium deficit because of which situation? Sustained tissue damage Requires nasogastric suction Has a history of Addison's disease Uric acid level of 9. Which of the following clients should the nurse recognize as being at risk for hypokalemia? a. ) Mar 1, 2024 · Hypokalemia is generally associated with cardiac disease, renal failure, malnutrition, and shock. ) Decreased potassium level C. Distended Abdomen Study with Quizlet and memorize flashcards containing terms like A client is admitted with severe diarrhea that resulted in hypokalemia. These assessments allow the nurse to determine patients at the highest risk for falls to implement precautions. The client's heart rate is 100/min, respiratory rate is 34/min, and the client reports numbness and tingling of the hands. What is the expected outcome in the client? a. A nurse assesses clients at a family practice clinic for risk factors that could lead to dehydration. 52, PoO2 89 mm hg, and HCO3- 24 mEq/L. Study with Quizlet and memorize flashcards containing terms like the nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. A nurse is providing care for a client who has a new diagnosis of anxiety. Chest tube to water sealD. Which client is at the highest risk for a fluid and electrolyte imbalance? An 82-year-old client who receives all nutrition via tube feedings and whose medications include carvedilol and torsemide. 9 mEq/L, a serum chloride level of 101 mEq/L, and a serum sodium level of 140 mEq/L. The nurse should plan to include which intervention in the plan of care 1, 2, 3, 5 Rationale: The priorities for nursing care of a client with hypokalemia are ensuring adequate oxygenation, client safety for fall prevention and potassium administration, and monitoring for complications related to diuretic therapy and client response to therapy. Plasma, Which condition places a pediatric patient at highest risk for developing hypokalemia? a. In fluid volume excess, neck veins will be distended. Chloride and bicarbonate C. 4° F) SaO2 97% The nurse is taking care of a postsurgical client experiencing decreased appetite. Contact precautions are initiated for a client with a health care-associated (nosocomial) infection caused by methicillin-resistant Staphylococcus aureus (MRSA). Mar 12, 2023 · In this article, we'll explore the symptoms of hypokalemia, nursing interventions that can be used to address low potassium levels, and effective treatment options for patients with this condition. ) Decreased calcium level, A nurse is caring for a client who has a prescription of potassium chloride (KCL) 20 mEq PO daily. Study with Quizlet and memorize flashcards containing terms like The nurse instructs a client who is at risk for hypokalemia about the foods high in potassium that should be included in the daily diet. Sep 10, 2023 · Nurses must be aware of the signs and symptoms of hypokalemia and the nursing interventions and low-potassium treatments that can be used to manage this condition. Orthostatic hypotension is a manifestation of hypokalemia. When the nurse is talking to the health care provider, which order can the nurse expect? Parenteral nutrition Fat-restricted diet Enteral nutrition support Clear liquid diet Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with metastatic breast cancer who is extremely lethargic and very slow to respond to stimuli. 1. Weight gain C. esxq wqyoj ttx hatp amgb xtmfrvt ifogyg fit xtbm enoruht