A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?

Decreased calcium level

Decreased potassium level

Elevated sodium level

Elevated magnesium level

Answer and Explanation

The Correct Answer is B

A.   Postoperative ileus and NG tube drainage are not typically associated with decreased calcium levels.
B.   The nurse should monitor for electrolyte imbalances, particularly a decreased potassium level. This is because the gastrointestinal tract, especially the stomach, contains a high concentration of potassium, and substantial losses can occur with ongoing gastric suctioning.
C.   NG tube drainage does not typically result in elevated sodium levels.
D.   NG tube drainage does not typically result in elevated magnesium levels.

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Correct Answer is D

Explanation

A. This statement describes the cause of diabetes mellitus, not Addison's disease.

B. This statement describes the cause of acromegaly, not Addison's disease.

C. This statement describes the cause of hyperparathyroidism, not Addison's disease.

D. This is the correct explanation of the cause of Addison's disease, which involves adrenal insufficiency.

A. Hypernatremia B. Hyperkalemia C. Hypercalcemia D. Hypophosphatemia

Correct Answer is B

Explanation

A. Hypernatremia is usually due to an excess of sodium or a deficit of water, not directly related to prerenal causes.
B. Prerenal AKI is characterized by a decrease in renal blood flow, which leads to a reduction in glomerular filtration rate and a subsequent accumulation of waste products, including potassium. Hyperkalemia occurs because the kidneys are unable to excrete potassium effectively.
C. Hypercalcemia is not typically associated with AKI.
D. Hypophosphatemia is generally associated with malnutrition or malabsorption syndromes and is not a direct result of prerenal AKI.

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A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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