A client's calcium level is 9.5 mg/dL (Normal 9.0-10.5 mg/dL). A nurse would expect the client's phosphate level to be:

high

the same as the calcium level

low

normal

Answer and Explanation

The Correct Answer is D

A. High: The relationship between calcium and phosphate is inverse, meaning when calcium levels rise, phosphate levels tend to decrease, and vice versa. Therefore, the phosphate level would not be expected to be high if the calcium level is within the normal range.

B. The same as the calcium level: While calcium and phosphate levels are related, they do not typically mirror each other directly. They have an inverse relationship, not a one-to-one correlation.

C. Low: Since calcium and phosphate have an inverse relationship, a normal calcium level generally indicates that phosphate levels are also normal, not necessarily low.

D. Normal: With a calcium level of 9.5 mg/dL, which is within the normal range, it is expected that the phosphate level would also be within the normal range, as long as there are no other underlying conditions affecting these levels.

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

Explanation

A. Never give KCI intramuscularly (IM) or as an IV bolus: Potassium chloride (KCl) should never be administered via IM injection or as an IV bolus. Both methods can cause severe irritation, tissue necrosis, and cardiac complications. Potassium should be given slowly and diluted to prevent these risks.

B. Always dilute potassium chloride in a large amount of IV solution: Potassium chloride must always be diluted when administered IV to prevent vein irritation and reduce the risk of hyperkalemia. It should be given in a large volume of fluid to ensure safe, slow infusion.

C. Never administer more than 40 mEq/L of IV potassium chloride (KCl) per hour: While the general recommendation is to limit the infusion rate to 10-20 mEq/hour for most patients, in certain situations, doses higher than 40 mEq/L per hour might be prescribed under close monitoring depending on the specific clinical situation.

D. Monitor the IV site frequently for early signs of infiltration, as potassium is caustic to the tissues: Potassium chloride is irritating to veins and tissues. If the IV infiltrates (leaks into the surrounding tissue), it can cause significant tissue damage, so frequent monitoring of the IV site is essential.

A. Slices of smoked ham with potato salad B. Bowl of tomato soup with a grilled cheese sandwich C. Salami and cheese on whole wheat crackers D. Grilled chicken breast with glazed carrots

Correct Answer is D

Explanation

A. Slices of smoked ham with potato salad: Smoked ham is high in sodium, hence inappropriate for someone on a restricted sodium diet. Potato salad, depending on preparation, can also be high in sodium due to added salt or processed ingredients.

B. Bowl of tomato soup with a grilled cheese sandwich: Both tomato soup and a grilled cheese sandwich often contain high amounts of sodium, especially if made with canned soup or processed cheese. This would not be suitable for a restricted sodium diet.

C. Salami and cheese on whole wheat crackers: Both salami and cheese are high in sodium, making this a poor choice for someone following a restricted sodium diet.

D. Grilled chicken breast with glazed carrots: Grilled chicken breast is a lean protein with minimal sodium, and glazed carrots, if prepared without added salt or high-sodium ingredients, can be a suitable option. This meal aligns with a restricted sodium diet.

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A client's calcium level is 9.5 mg/dL (Normal 9.0-10.5 mg/dL). A nurse would expect the client's phosphate level to be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering potassium chloride, which of following safety precautions must be observed? (Select all that apply)

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

Explanation

After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client's understanding. Which food choice for lunch indicates the client correctly understood the teaching?

Correct Answer is D

Explanation

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