An older adult patient has had a series of enemas in preparation for a gastrointestinal diagnostic procedure. Which electrolytes should be monitored following the enemas?
Sodium and potassium
Selenium and zinc
Magnesium and phosphorus
Calcium and chloride
The Correct Answer is A
A. Sodium and potassium: Frequent enemas can lead to electrolyte imbalances, particularly sodium and potassium depletion, due to fluid loss and altered intestinal absorption.
B. Selenium and zinc: These are trace elements, not commonly affected by enemas.
C. Magnesium and phosphorus: While imbalances in these electrolytes can occur in other conditions, enemas are more likely to impact sodium and potassium.
D. Calcium and chloride: Although chloride may be affected in severe cases, sodium and potassium are more routinely monitored following fluid and electrolyte disturbances caused by enemas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Determining which medications are ineffective against the causative organism: The test determines both effective and ineffective antibiotics, but the focus is on identifying the most effective ones.
B. Testing anti-infective medications to see which ones are most effective against the causative organism. Sensitivity testing determines which antibiotics are most effective against the specific organism, guiding treatment.
C. Growing colonies of the causative organism on a culture medium: This is part of the culture process, not sensitivity testing.
D. Identifying the causative organism of the infection: This is also part of the culture process, not the sensitivity component.
Correct Answer is A
Explanation
A. Time of death: The time of death is a crucial detail that needs to be accurately documented. It provides an official record of when life ceased and is necessary for legal and medical purposes.
B. Which family members were notified: While it's important to notify family members, documenting the specific individuals who were informed is not required unless it directly affects the care or legal processes.
C. Notification of the mortuary: While the notification of the mortuary is part of the post-death process, it typically falls under hospital procedures and would be documented by other departments. The nurse's role is more focused on clinical documentation at the time of death.
D. Time at which life signs ceased: The cessation of life signs, such as heart rate and respiration, is often recorded, but the time of death is the official documentation required. The time of death is typically used as the legal record.
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