A patient has a serum phosphate level of 2.0 mg/dL. Which treatments should the nurse expect to be prescribed for this patient? Select all that apply.

Normal saline.

Potassium phosphate.

Additional milk intake.

Increased Vitamin D intake.

Answer and Explanation

Correct Answer : B,C,D

The correct answers are Choices B, C, and D.

Choice A rationale: Normal saline is not typically used to treat low phosphate levels. It is often used to treat dehydration and electrolyte imbalances that do not include hypophosphatemia.

Choice B rationale: Potassium phosphate is used to treat low phosphate levels. It directly supplements phosphate levels in the body, making it an appropriate treatment for hypophosphatemia.

Choice C rationale: Additional milk intake can help increase phosphate levels, as milk is a good source of phosphate. This is a suitable recommendation for a patient with low phosphate levels.

Choice D rationale: Increased Vitamin D intake can enhance phosphate absorption from the gastrointestinal tract, making it a beneficial treatment for a patient with low phosphate levels.

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Correct Answer is B

Explanation

The correct answer is choice B) Administering sodium polystyrene sulfonate.

Choice A rationale:

Administering a potassium-sparing diuretic is not appropriate for a client with hyperkalemia (high potassium levels). Potassium-sparing diuretics would further increase potassium levels, worsening the condition.

Choice B rationale:

Sodium polystyrene sulfonate is used to treat hyperkalemia. It works by exchanging sodium ions for potassium ions in the intestines, which helps to lower serum potassium levels by excreting it through the stool.

Choice C rationale:

Initiating an IV potassium infusion would be contraindicated in this situation as it would increase the already elevated potassium levels, potentially leading to dangerous cardiac complications.

Choice D rationale:

Encouraging the client to eat bananas is not advisable because bananas are high in potassium, which would exacerbate hyperkalemia.

A. 1000 milliliters. B. 600 milliliters. C. 1200 milliliters. D. 750 milliliters.

Correct Answer is B

Explanation

The correct answer is B. 600 milliliters.

Choice A rationale:

A 24-hour urine output of 1000 milliliters is within the normal range for an adult, indicating adequate kidney function and hydration.

Choice B rationale:

A 24-hour urine output of 600 milliliters is below the normal range (typically 800-2000 milliliters), which may indicate oliguria (reduced urine output) and could be a sign of renal impairment or dehydration. This warrants notifying the healthcare provider.

Choice C rationale:

A 24-hour urine output of 1200 milliliters is also within the normal range, suggesting normal kidney function and hydration status.

Choice D rationale:

A 24-hour urine output of 750 milliliters is slightly below the normal range but may not be immediately concerning unless accompanied by other symptoms. However, it is still important to monitor and possibly notify the healthcare provider if it persists.

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A patient has a serum phosphate level of 2.0 mg/dL. Which treatments should the nurse expect to be prescribed for this patient? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

Explanation

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