What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?
Hypokalemia
Hypocalcemia
Hypernatremia
Hyperphosphatemia
The Correct Answer is A
A. Hypokalemia: Tap water enemas can cause excessive fluid shifts, leading to potassium loss via stool and dilutional effects. Multiple enemas can result in hypokalemia (low K⁺), which may cause muscle weakness and cardiac arrhythmias.
B. Hypocalcemia: Tap water enemas do not significantly affect calcium levels.
C. Hypernatremia: Tap water is hypotonic, leading to fluid absorption rather than sodium excess.
D. Hyperphosphatemia: Enemas can cause hypophosphatemia rather than excess phosphate levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1370"]
Explanation
To calculate total output, we sum all recorded outputs:
- Urine output:
- 400 mL + 350 mL = 750 mL
- Chest tube drainage:
- 175 mL (current) - 155 mL (previous) = 20 mL
- Nasogastric tube drainage: 575 mL
- Jackson-Pratt drain output: 25 mL
Total Output = 750 + 20 + 575 + 25 = 1,370 mL
Correct Answer: 1,370 mL
Correct Answer is D
Explanation
A. Hypotension: Fluid overload typically causes hypertension, not hypotension.
B. Polyuria: ESRD patients typically have oliguria or anuria, not excessive urine output.
C. Weight loss: Fluid overload leads to weight gain due to fluid retention.
D. Edema: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function. Clients may also experience hypertension, dyspnea, and crackles.
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