The patient who has a serum magnesium level of 1.4 mg/dL is being treated with dietary modification. Which foods should the nurse suggest for this patient?

Romaine lettuce.

Lean red meat.

Almonds.

White rice.

Answer and Explanation

Correct Answer : A,C

Choice A rationale:

Romaine lettuce is a good dietary source of magnesium. Since the patient has a low serum magnesium level, suggesting foods rich in magnesium like romaine lettuce can help improve magnesium levels.

Choice B rationale:

Lean red meat is not a good suggestion for a patient with low magnesium levels. While it contains magnesium, it is not as rich in magnesium as some other food choices.

Choice C rationale:

Almonds are a good dietary source of magnesium and can be recommended to the patient with low magnesium levels to help increase their magnesium intake.

Choice D rationale:

White rice is not a significant source of magnesium and may not be helpful in improving the patient's low magnesium levels.

Choice E rationale:

Seafood is a good source of various nutrients but is not particularly rich in magnesium compared to other options like almonds and romaine lettuce. Thus, it may not be the best suggestion for the patient's low magnesium levels.

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Correct Answer is C

Explanation

Choice A rationale:

While acute renal failure can affect phosphorus levels, potassium is the electrolyte most commonly affected in this condition. Kidneys play a crucial role in regulating potassium levels in the body, and when they fail, potassium levels can become dangerously elevated.

Choice B rationale:

Acute renal failure can lead to alterations in magnesium levels, but potassium is typically more affected. Magnesium imbalances may occur but are not the primary concern in this condition.

Choice C rationale:

As mentioned earlier, potassium imbalances are common in acute renal failure. The nurse should closely monitor the patient's potassium levels and be prepared to intervene if they become too high or too low.

Choice D rationale:

Calcium levels may also be affected in acute renal failure, but potassium remains the most critical electrolyte to monitor in this condition.

A. Hypocalcemia. B. Hypernatremia. C. Hyperkalemia. D. Potential Condition. Action to Take 1: Prepare to check a serum albumin level. Action to Take 2: Request a STAT ECG. Parameters to Monitor 1: Serum bicarbonate level. Parameters to Monitor 2: Intake and Output.

Correct Answer is A

Explanation

Hypocalcemia. Action to Take 1: Prepare to check a serum albumin level.

Rationale:

Hypocalcemia can be influenced by changes in serum albumin levels, as calcium may bind to albumin. Correcting calcium levels based on albumin can help determine the actual calcium status. Action to Take 2: Request a STAT ECG. Rationale: Hypocalcemia can lead to prolonged QT intervals on an electrocardiogram (ECG). A STAT ECG is necessary to assess cardiac function and detect any potential arrhythmias. Parameters to Monitor 1: Serum bicarbonate level. Rationale: Monitoring serum bicarbonate levels can help assess the client's acid-base balance and metabolic status. Abnormal bicarbonate levels may indicate metabolic disturbances. Parameters to Monitor 2: Intake and Output. Rationale: Monitoring intake and output is essential to evaluate the client's fluid balance and kidney function. Hypocalcemia can impact renal function, and assessing urine output is crucial.

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The patient who has a serum magnesium level of 1.4 mg/dL is being treated with dietary modification. Which foods should the nurse suggest for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is admitting a patient who was diagnosed with acute renal failure. Which electrolyte should the nurse expect to be most affected with this disorder?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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