A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?

Decreased calcium level

Decreased potassium level

Elevated sodium level

Elevated magnesium level

Answer and Explanation

The Correct Answer is B

A.   Postoperative ileus and NG tube drainage are not typically associated with decreased calcium levels.
B.   The nurse should monitor for electrolyte imbalances, particularly a decreased potassium level. This is because the gastrointestinal tract, especially the stomach, contains a high concentration of potassium, and substantial losses can occur with ongoing gastric suctioning.
C.   NG tube drainage does not typically result in elevated sodium levels.
D.   NG tube drainage does not typically result in elevated magnesium levels.

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Correct Answer is B

Explanation

A. Hyperglycemia is associated with diabetes mellitus, not diabetes insipidus. Diabetes insipidus is characterized by excessive thirst and urination due to inadequate secretion of antidiuretic hormone (ADH), not hyperglycemia.
B. Dehydration is a hallmark finding in diabetes insipidus due to excessive urination and fluid loss. Clients with diabetes insipidus may exhibit signs of dehydration, such as dry mucous membranes, decreased skin turgor, and hypotension.
C. Bradycardia is not typically associated with diabetes insipidus.
D. Polyphagia, or excessive hunger, is a symptom of diabetes mellitus, not diabetes insipidus.

A. Urine output of 175 ml in the past 8 hrs B. Urine output of 2,200 ml in the past 24 hr C. Urine is cloudy after sitting in the urinal for 6 hr D. First-voided urine in the morning has a strong odor

Correct Answer is A

Explanation

A. A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
B. This amount of urine output over 24 hours is within normal range and does not typically warrant immediate notification unless there are other concerning symptoms.
C. Cloudy urine may indicate the presence of urinary tract infection or other issues, but it alone may not require immediate notification of the provider.
D. While strong-smelling urine can be indicative of various conditions, it alone may not necessitate immediate provider notification unless accompanied by other concerning symptoms.

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A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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