The nurse is caring for a client with severe electrolyte imbalances that have occurred as a result of kidney failure. The nurse knows that this client is at risk for which disorders as a result of this electrolyte imbalance?
Standard Text: Select all that apply.
1. Fluid retention
2. Muscle spasms
3. Fractures
4. High cholesterol
5. Depression
Correct Answer: 1,2,3
Rationale 1: Electrolytes are responsible for membrane permeability and water balance. An electrolyte imbalance, especially too much sodium, can result in fluid retention.
Rationale 2: Electrolytes are essential for muscle contractions. An imbalance in electrolytes can result in muscle spasms.
Rationale 3: Electrolytes are essential for bone growth and remodeling and may place a client at risk for fractures, especially when there is an imbalance of calcium.
Rationale 4: There is no indication that electrolyte imbalances result in high cholesterol.
Rationale 5: There is no indication that electrolyte imbalances result in depression.
Global Rationale: Electrolytes are responsible for membrane permeability and water balance. An electrolyte imbalance, especially too much sodium, can result in fluid retention. Electrolytes are essential for muscle contractions. An imbalance in electrolytes can result in muscle spasms. Electrolytes are essential for bone growth and remodeling and may place a client at risk for fractures, especially when there is an imbalance of calcium. There is no indication that electrolyte imbalances result in high cholesterol or depression.
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