The nurse is caring for a patient with severe electrolyte imbalances that have occurred as a result of kidney failure. The nurse knows that this patient is at risk for what disorders as a result of this electrolyte imbalance?
1. Fluid retention
2. Muscle spasms
3. Fractures
4. High cholesterol
5. Depression
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 patient 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 patient 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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