The major electrolyte disturbances that result from diuresis are
a. low calcium and high phosphorus levels.
b. low potassium and low sodium levels.
c. high sodium and low phosphorus levels.
d. low calcium and low potassium levels.
B
Serum sodium may be low as a result of the movement of water from the intracellular space into the extracellular (vascular) space. The serum potassium level is often normal; a low serum potassium level in diabetic ketoacidosis suggests that a significant potassium deficiency may be present.
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The nurse is caring for a client who is having a mitral valve replacement with a mechanical valve. What instructions should the nurse be sure the client understands prior to being discharged?
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The nurse is caring for a 13-year-old girl with von Willebrand disease. After teaching the adolescent and her parents about this disorder and care, which response by the parents indicates a need for additional teaching?
A) "We need to administer Stimate prior to dental work." B) "We should be aware that she may suffer from menorrhagia." C) "We should administer desmopressin as often as needed." D) "We understand that she may have frequent nosebleeds."
Which client statement would indicate to the nurse that his dyssomnia could be related to circa-dian rhythm sleep disturbance?
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