A nurse is admitting a client who reports excessive thirst, fever, and periods of confusion. The nurse suspects the client is experiencing heat exhaustion. Which of the following electrolyte imbalances should the nurse expect?

Hypernatremia

Hypocalcemia

Hyperkalemia

Hyperphosphatemia

Answer and Explanation

The Correct Answer is A

A. Hypernatremia: Excessive fluid loss through sweat, combined with insufficient fluid intake, can lead to hypernatremia (elevated sodium levels), often seen in heat exhaustion.
B. Hypocalcemia: Calcium levels are not typically affected by heat exhaustion.
C. Hyperkalemia: Potassium levels usually decrease due to sweating, not increase.
D. Hyperphosphatemia: Phosphate levels are not significantly altered in heat exhaustion.

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Correct Answer is B

Explanation

A. "Trendelenburg with legs extended.": Trendelenburg increases pressure on the abdomen, worsening evisceration.
B. "Supine with knees flexed.": This position reduces abdominal tension, minimizing further protrusion of the contents and providing comfort until surgical intervention.
C. "Semi-Fowler's with legs extended.": This position does not adequately reduce abdominal tension.
D. "Left-lateral with knees flexed.": Lateral positions are not suitable because they do not address abdominal tension or allow easy surgical access.

A. Ginkgo biloba B. Flaxseed powder C. Probiotics D. Echinacea

Correct Answer is A

Explanation

A. Ginkgo biloba: Ginkgo biloba increases the risk of bleeding when taken with anticoagulants like enoxaparin, as it inhibits platelet aggregation.
B. Flaxseed powder: While flaxseed may have mild anticoagulant properties, it is less likely to pose a significant risk compared to ginkgo biloba.
C. Probiotics: Probiotics do not interact with anticoagulants or increase bleeding risk.
D. Echinacea: Echinacea is primarily used to boost immunity and does not increase bleeding risk.

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A nurse is admitting a client who reports excessive thirst, fever, and periods of confusion. The nurse suspects the client is experiencing heat exhaustion. Which of the following electrolyte imbalances should the nurse expect?

Nursing Test Bank

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