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:
Starting a new exercise program is not directly associated with the development of hypomagnesemia.
Choice B rationale:
Starting a new exercise program is not directly associated with the development of hypokalemia.
Choice C rationale:
Starting a new exercise program is not directly associated with the development of hypocalcemia.
Choice D rationale:
Excessive sweating during exercise, especially in hot conditions, can lead to loss of sodium through sweat, potentially resulting in hyponatremia. Lithium can also increase the risk of hyponatremia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
PaCO2 levels are not typically affected by albumin infusions.
Choice B rationale:
Oxygen saturation of 96 is a normal finding and is not directly related to an albumin infusion.
Choice C rationale:
Albumin infusion would not typically cause a decrease in protein levels. A decrease in protein is not expected after albumin infusion, as albumin is a protein itself.
Choice D rationale:
Albumin is a plasma expander that increases the blood volume and the blood pressure in a client who is in shock.
Correct Answer is B
Explanation
Choice A rationale:
Enoxaparin is administered subcutaneously, so the syringe needle should be fully inserted into the client's skin.
Choice B rationale:
Expelling the air bubble from the syringe helps ensure accurate dosage and prevents the injection of air into the subcutaneous tissue.
Choice C rationale:
Enoxaparin is administered subcutaneously, not into muscle tissue.
Choice D rationale:
Applying firm pressure to the injection site following administration is not typically necessary for subcutaneous injections of enoxaparin.
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