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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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit.

Choice B rationale:

Oliguria (reduced urine output) is indicative of fluid volume deficit, as the body conserves fluid by producing less urine.

Choice C rationale:

Nausea may be related to various factors, but it is not a specific sign of fluid volume deficit.

Choice D rationale:

Headaches can occur for various reasons and are not specific to fluid volume deficit.

A. Polypharmacy B. Multiple health problems C. Increased rate of absorption D. Decreased percentage of body fat E. Decreased renal function

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.

Choice B rationale:

Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.

Choice C rationale:

The rate of drug absorption tends to decrease with age, not increase.

Choice D rationale:

Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.

Choice E rationale:

Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.

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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?

Nursing Test Bank

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