A charge nurse is providing an in-service to a group of nurses about hypomagnesemia. Which of the following should the charge nurse include as risk factors for this condition? (Select all that apply.)
Clients who have had gastric bypass surgery
Clients who have renal failure
Clients receiving opioid pain medications
Clients who are in the intensive care unit
Clients undergoing hemodialysis
Correct Answer : A,B,D,E
A. Clients who have had gastric bypass surgery: Gastric bypass surgery can lead to decreased absorption of nutrients, including magnesium, making these clients at higher risk for hypomagnesemia.
B. Clients who have renal failure: Renal failure can impair the kidneys' ability to excrete magnesium, potentially leading to hypomagnesemia.
C. Clients receiving opioid pain medications: Opioids are not directly associated with hypomagnesemia. They may have other side effects but do not typically cause low magnesium levels.
D. Clients who are in the intensive care unit: ICU patients are at risk for various electrolyte imbalances, including hypomagnesemia, due to critical illness, medications, and other factors.
E. Clients undergoing hemodialysis: Hemodialysis can lead to loss of magnesium, making these patients more susceptible to hypomagnesemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hyperventilation: Respiratory alkalosis is typically caused by hyperventilation, which leads to excessive loss of carbon dioxide and an increase in blood pH. This is a primary finding in respiratory alkalosis.
B. Abdominal pain: While abdominal pain can occur in various conditions, it is not a specific or common finding associated with respiratory alkalosis.
C. Dry skin: Dry skin is not a direct manifestation of respiratory alkalosis. It is not typically associated with the changes in acid-base balance seen in respiratory alkalosis.
D. Diarrhea: Diarrhea is not commonly associated with respiratory alkalosis. Instead, gastrointestinal symptoms like diarrhea are more commonly related to metabolic acidosis or other conditions.
Correct Answer is B
Explanation
A. Hyperventilate the client with 100% oxygen before suctioning the airway: Hyperventilation before suctioning is a method to prevent hypoxia, not to thin secretions. It does not affect the viscosity of secretions.
B. Provide humidified oxygen: Humidified oxygen helps to moisten the airways, which can thin secretions, making them easier to clear. This is an appropriate intervention for managing tenacious secretions in a client with a tracheostomy.
C. Perform chest physiotherapy prior to suctioning: Chest physiotherapy helps mobilize secretions but does not thin them. While useful in clearing airways, it is not a direct method for thinning secretions.
D. Prelubricate the suction catheter tip with sterile saline when suctioning the airway: Prelubricating the suction catheter is done to reduce friction and trauma during suctioning but does not impact the thickness of the secretions.
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