A charge nurse is providing an in-service to a group of nurses about hypomagnesemia. Which of the following should the charge nurse include as risk factors for this condition? (Select all that apply.)
Clients who have had gastric bypass surgery
Clients who have renal failure
Clients receiving opioid pain medications
Clients who are in the intensive care unit
Clients undergoing hemodialysis
Correct Answer : A,B,D,E
A. Clients who have had gastric bypass surgery: Gastric bypass surgery can lead to decreased absorption of nutrients, including magnesium, making these clients at higher risk for hypomagnesemia.
B. Clients who have renal failure: Renal failure can impair the kidneys' ability to excrete magnesium, potentially leading to hypomagnesemia.
C. Clients receiving opioid pain medications: Opioids are not directly associated with hypomagnesemia. They may have other side effects but do not typically cause low magnesium levels.
D. Clients who are in the intensive care unit: ICU patients are at risk for various electrolyte imbalances, including hypomagnesemia, due to critical illness, medications, and other factors.
E. Clients undergoing hemodialysis: Hemodialysis can lead to loss of magnesium, making these patients more susceptible to hypomagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sputum culture: A sputum culture is the definitive diagnostic test for tuberculosis (TB). It involves collecting a sample of the patient’s sputum and testing it for the presence of Mycobacterium tuberculosis, the bacterium that causes TB. This test confirms active TB infection and is critical in guiding treatment.
B. Chest x-ray: A chest x-ray can show abnormalities in the lungs that may suggest TB, such as infiltrates or cavities, but it cannot confirm the diagnosis. It is often used as a supporting diagnostic tool alongside other tests.
C. Tuberculin skin test: The tuberculin skin test (TST) is used to identify latent TB infection, not active TB. A positive result indicates that a person has been exposed to TB bacteria, but it does not confirm active disease.
D. Bronchoscopy: Bronchoscopy allows for direct visualization of the airways and collection of samples, but it is not the standard diagnostic test for confirming TB. Sputum culture remains the gold standard for diagnosis.
Correct Answer is D
Explanation
A. BNP does not promote the synthesis of angiotensin II; instead, it counteracts the effects of the renin-angiotensin-aldosterone system (RAAS) by reducing fluid retention and blood pressure, which is the opposite of what angiotensin II does.
B. BNP does not increase heart rate or cardiac contractility. Its role is primarily in reducing cardiac workload by lowering blood pressure and decreasing fluid volume.
C. BNP does not increase blood pressure; rather, it acts to decrease it by causing vasodilation and inhibiting the effects of aldosterone, which would otherwise increase blood pressure by promoting sodium and water retention.
D. BNP decreases blood pressure by causing vasodilation and promoting the excretion of sodium and water, which reduces blood volume and, consequently, lowers the blood pressure. This is its primary role in cardiovascular regulation, especially in response to heart failure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.