A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?
Hypomagnesemia
Hypokalemia
Hypocalcemia
Hyponatremia
The Correct Answer is D
Choice A rationale:
Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.
Choice B rationale:
Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.
Choice C rationale:
Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.
Choice D rationale:
Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.
Choice B rationale:
Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.
Choice C rationale:
Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.
Choice D rationale:
Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.
Correct Answer is A
Explanation
Choice A rationale:
Total parental nutrition (TPN) is a highly concentrated intravenous nutritional solution that provides essential nutrients. It is administered through a central venous access device to ensure proper dilution and delivery.
Choice B rationale:
A midline catheter is not appropriate for administering TPN, as it may not be suitable for the concentrated solution.
Choice C rationale:
Subcutaneous administration is not suitable for TPN, as it requires intravenous access to provide the necessary nutrients directly into the bloodstream.
Choice D rationale:
Intraosseous access is not commonly used for long-term nutritional support like TPN; it is more often used for emergent situations.
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