The nurse caring for a postoperative client documents the following data: flushed dry skin, dry mucous membranes, hypotension, and lethargy. The client states that he is thirsty and requests water

Which of the following conditions do these data support? A) Hypernatremia
B) Hyperkalemia
C) Hypercalcemia
D) Hypermagnesemia


A
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The signs and symptoms of hypernatremia are thirst, dry mucous membranes, flushed dry skin, and hypotension (if accompanied by FVD) and neurologic findings. Hyperkalemia manifests as vague muscle weakness initially, with skeletal muscle weakness possibly progressing to paralysis, paresthesias, and dysrhythmias. Hypercalcemia presents as dysrhythmia, hypertension, muscle weakness, depressed reflexes, and altered states of consciousness progressing to coma. Hypermagnesemia causes weakness, diminished deep-tendon reflexes, muscle weakness, and hypotension with peripheral vasodilation.

Nursing

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