In the Emergency Department, a client has been given large amount of IV fluid to treat hypovolemic shock. Which electrolyte imbalance is MOST common after large amounts have been infused?
a. hyponatremia c. hypernatremia
b. hypokalemia d. hypocalcemia
B
Electrolyte replacement may be necessary, especially if large amount of fluids are needed to correct the client's hypovolemia. Hypokalemia is common in this client population after large amounts of fluids have been infused. Also, either hyponatremia or hypernatremia may also occur, depending on the type of intravenous solution used. Less commonly, calcium imbalance may be present. The nurse should take care to remember that cardiac arrhythmias can occur as a result of electrolyte imbalance.
You might also like to view...
The nurse should include what advice when instructing the parents in the correct method of suction with the bulb syringe?
a. Compress the bulb syringe prior to insertion in the mouth. b. Compress the bulb syringe following insertion into the nares. c. Insert the bulb syringe approximately 2 to 4 inches into the mouth. d. Suction center of the mouth to elicit a vagal response.
The clinic nurse is assessing a child with bacterial conjunctivitis (pink eye). Which assessment findings should the nurse expect? (Select all that apply.)
a. Itching b. Swollen eyelids c. Inflamed conjunctiva d. Purulent eye drainage e. Crusting of eyelids in the morning
A successful leader is able to:
A. Accept the status quo if it is working. B. Make a difference no matter what it takes C. Be reactive to change D. Have a poor or nonexistent personal life
A resident of a nursing home has accused several members of the care staff of stealing jewelry from the overbed table despite the fact that the facility's policy requires residents to keep such valuables in a lock box
The nurse has responded empathically to the accusations and has explained why this is impossible, to no avail. Which of the following conditions is the client experiencing? A) Delusions B) Hallucinations C) Unresolved anger D) Illusions