A nurse is caring for a client who has severe right wrist pain.
The nurse has completed the assessment of the client.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Hypervolemia: IVF at 150ml/hr is a relatively high rate for someone with CHF. Even isotonic fluids like 0.9% sodium chloride can accumulate quickly and worsen cardiac workload.
Incorrect answers:
- Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
- Osteomyelitis: Infection of the bone; not a direct risk in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Prepare the client for dialysis: A potassium level of 8.3 mEq/L is critically high (normal range: 3.5–5.3 mEq/L), putting the client at immediate risk for life-threatening cardiac arrhythmias (e.g., ventricular fibrillation). Emergency dialysis is needed to remove excess potassium if other interventions (e.g., insulin, calcium gluconate) fail.
B. Start an IV and run normal saline at 50mL/hour: Fluid administration alone does not lower potassium quickly enough in a life-threatening situation.
C. Repeat the electrolyte values later in the day: Delaying treatment would increase the risk of cardiac arrest.
D. Monitor urine output: Although important, monitoring alone does not treat the emergency. Clients with acute renal failure often have little to no urine output.
Correct Answer is A
Explanation
A. Hypokalemia: Tap water enemas can cause excessive fluid shifts, leading to potassium loss via stool and dilutional effects. Multiple enemas can result in hypokalemia (low K⁺), which may cause muscle weakness and cardiac arrhythmias.
B. Hypocalcemia: Tap water enemas do not significantly affect calcium levels.
C. Hypernatremia: Tap water is hypotonic, leading to fluid absorption rather than sodium excess.
D. Hyperphosphatemia: Enemas can cause hypophosphatemia rather than excess phosphate levels.
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