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
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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Related Questions
Correct Answer is B
Explanation
A. Placing the client in Trendelenburg position is not appropriate in this situation. It may worsen respiratory depression caused by magnesium sulfate.
B. Absent deep-tendon reflexes and respiratory depression are signs of magnesium toxicity.
Discontinuing the medication infusion is essential to prevent further toxicity.
C. While preeclampsia can lead to complications necessitating emergency cesarean birth, the immediate concern here is addressing magnesium toxicity.
D. Assessing maternal blood glucose is not relevant to the management of magnesium toxicity.
Correct Answer is B
Explanation
A. The erythrocyte sedimentation rate (ESR) is a nonspecific marker of inflammation and is not used to assess the therapeutic effect of epoetin alfa.
B. The hematocrit (Hct) measures the proportion of red blood cells in the blood. Epoetin alfa stimulates the production of red blood cells, leading to an increase in hematocrit levels, indicating a therapeutic effect of the medication.
C. The leukocyte count measures the number of white blood cells in the blood and is not relevant for assessing the therapeutic effect of epoetin alfa.
D. The platelet count measures the number of platelets in the blood and is not relevant for assessing the therapeutic effect of epoetin alfa.
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