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
Hyponatremia
Нуросаlcemia
The Correct Answer is C
A. Hypomagnesemia: While exercise can cause some magnesium loss through sweat, lithium is not specifically associated with magnesium imbalance. The primary concern in this scenario is related to sodium levels due to the impact of both exercise and lithium.
B. Hypokalemia: Exercise might also lead to potassium loss through sweat. However, potassium levels are not specifically affected by lithium in the same way as sodium levels. Hyponatremia is a more significant concern in this context.
C. Hyponatremia: Exercise-induced sodium loss compounded with lithium's potential to disrupt sodium balance increases the risk of hyponatremia. It's essential to monitor sodium levels in individuals on lithium who start new exercise programs.
D. Hypocalcemia: Exercise itself doesn't directly lead to significant calcium imbalances. Additionally, lithium is not associated with disturbances in calcium levels to the extent that it is with sodium levels.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dark amber urine:
Dark amber urine is not typically an adverse effect of receiving 0.9% sodium chloride solution. It may be a sign of concentrated urine, dehydration, or the presence of certain substances, but it is not a direct adverse effect of the solution itself.
B. Decreased skin turgor:
Decreased skin turgor is a clinical manifestation of dehydration and is not an adverse effect of 0.9% sodium chloride solution. The solution is administered to address dehydration and restore fluid balance.
C. Increased bowel sounds:
Increased bowel sounds are not an adverse effect of 0.9% sodium chloride solution. Bowel sounds are influenced by various factors, including the presence of gas and peristalsis, but they are not directly related to the administration of this isotonic solution.
D. Pink, frothy sputum:
This is the correct answer. Pink, frothy sputum is a potential sign of pulmonary edema, which can be associated with fluid overload. Administering 0.9% sodium chloride solution too rapidly or in excessive amounts can lead to fluid overload and pulmonary edema.
Correct Answer is C
Explanation
A. Transdermal: Epoetin alfa is not available for transdermal administration. It's a medication typically administered by injection.
B. Oral: Epoetin alfa is not orally active and is not available in oral form. The oral route is not suitable for this medication due to its large molecular size and degradation in the digestive system.
C. Intravenous (IV): This is the correct route for administering epoetin alfa. It is usually given as an intravenous injection in clinical settings.
D. Inhalation: Epoetin alfa is not formulated for inhalation. It is not administered through the respiratory system but rather through injection, most commonly intravenously.
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