Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body. This can cause hypokalemia, which is a low level of potassium in the blood.

Choice A is wrong because Addison’s disease causes hyperkalemia, which is a high level of potassium in the blood.

Choice B is wrong because tissue damage can release potassium from the cells into the blood, causing hyperkalemia.

Choice C is wrong because uric acid level is not related to potassium level.

Uric acid is a waste product of purine metabolism that can cause gout or kidney stones if elevated.

Trousseau’s sign is a test for hypocalcemia that involves inflating a blood pressure cuff on the arm and observing for carpal spasm. A positive sign indicates low calcium levels in the blood, which can cause neuromuscular irritability.

Choice B is wrong because hyperactive deep tendon reflexes are a sign of hypomagnesemia, which is a low level of magnesium in the blood.

Choice C is wrong because hyperactive bowel sounds are a sign of hyperkalemia, which is a high level of potassium in the blood.

Choice D is wrong because muscle twitching can be caused by many factors, such as anxiety, caffeine, or electrolyte imbalance, and is not specific to hypocalcemia.

This is the only solution that is isotonic and compatible with blood products. It will not cause hemolysis or clotting of the blood cells.

Choice B is wrong because lactated Ringer’s is a balanced electrolyte solution that contains calcium, which can cause clotting of the blood cells.

Choice C is wrong because 5% dextrose is a hypotonic solution that can cause hemolysis of the blood cells.

Choice D is wrong because 5% dextrose in 0.45% sodium chloride is a hypertonic solution that can cause hemolysis of the blood cells.

Protein intake can increase the excretion of calcium and oxalate in the urine, which can promote the formation of calcium oxalate stones. The client should limit animal protein sources, such as meat, poultry, fish, eggs, and dairy products.

Choice A is wrong because purine-rich foods, such as organ meats, shellfish, and beer, can increase the production of uric acid, which can cause uric acid stones.

Choice B is wrong because a low-calcium diet can increase the absorption of oxalate in the intestine, which can increase the risk of calcium oxalate stones.

The client should consume a moderate amount of calcium from dietary sources, such as milk, cheese, yogurt, and green leafy vegetables.

Choice C is wrong because potassium-rich foods, such as bananas, oranges, potatoes, and tomatoes, can help prevent calcium oxalate stones by increasing the urinary pH and citrate levels.

The client should consume adequate amounts of potassium from dietary sources.

The correct answer is A. 42 mL/h.

Choice A: 42 mL/h

Reason: To calculate the IV rate, we use the formula: IV rate (mL/h) = Total volume (mL) ÷ Total time (hours). For this problem, the total volume is 1000 mL and the total time is 24 hours. Therefore, the calculation is 1000 mL ÷ 24 hours = 41.6667 mL/h. When rounded to the nearest whole number, the IV rate is 42 mL/h. This makes 42 mL/h the correct answer.

Choice B: 44 mL/h

Reason: This choice is incorrect because it does not match the calculated IV rate. The calculation of 1000 mL ÷ 24 hours results in 41.6667 mL/h, which rounds to 42 mL/h, not 44 mL/h. Therefore, 44 mL/h is not a valid option based on the given data.

Choice C: 46 mL/h

Reason: This choice is also incorrect. The calculated IV rate of 41.6667 mL/h, when rounded to the nearest whole number, is 42 mL/h. There is no mathematical basis for rounding up to 46 mL/h from 41.6667 mL/h, making this choice invalid.

Choice D: 48 mL/h

Reason: This choice is incorrect as well. The correct calculation yields 41.6667 mL/h, which rounds to 42 mL/h. There is no justification for rounding up to 48 mL/h. This choice does not align with the calculated and rounded IV rate.

The correct answer is 22.5 mL.

To find the amount of mL, use the formula: (desired dose / available dose) x available volume.

In this case, desired dose = 30 mEq, available dose = 20 mEq, and available volume = 15 mL.

Plug these values into the formula: (30 mEq / 20 mEq) x 15 mL = 22.5 mL.

However, since the instructions say to round to the nearest whole number for adult clients, the final answer is 23 mL.

The correct answer is 1.5 tablets.

To find the number of tablets, use the formula: (desired dose / available dose) x 1 tablet.

In this case, desired dose = 0.015 grams, and available dose = 10 mg.

However, these units are not the same, so they need to be converted to a common unit.

One gram is equal to 1000 mg, so 0.015 grams is equal to 15 mg.

Plug these values into the formula: (15 mg / 10 mg) x 1 tablet = 1.5 tablets.

However, since the instructions say to round to the nearest tenth for adult clients, the final answer is 1.5 tablets.

According to Healthline1 and Mayo Clinic, the normal blood sodium level is between 135 and 145 milliequivalents per liter (mEq/L).

Choice A is wrong because it is the normal range for potassium, not sodium.

Choice B is wrong because it is the normal range for calcium, not sodium.
Choice D is wrong because it is the normal range for chloride, not sodium

The correct answer is choice A. Daily weight.

According to MDCalc, daily weight is the most accurate indicator of fluid loss or gain in acutely ill patients, as it reflects changes in total body water.

A weight change of 1 kg corresponds to a fluid change of approximately 1 L.

Choice B is wrong because intake and output measurements can be inaccurate or incomplete, and do not account for insensible fluid losses.

Choice C is wrong because serum osmolality reflects the concentration of solutes in the blood, not the volume of fluid.

Choice D is wrong because urine specific gravity reflects the concentration of solutes in the urine, not the volume of fluid.

Uremia is a condition where there is an excess of urea and other nitrogenous wastes in the blood, usually excreted by the kidneys into the urine. It occurs when the kidneys stop filtering toxins out through your urine and can be a sign of end-stage renal (kidney) disease.

Choice A is wrong because azotemia is the buildup of nitrogen waste products in the blood, not urea.

Choice C is wrong because anuria is the absence or reduction of urine output.

Choice D is wrong because oliguria is the low output of urine.