Decreased magnesium levels can be associated with which of the following?
Chronic alcoholism
Renal failure
Addison's disease
Uncontrolled diabetes mellitus
The Correct Answer is A
A. Chronic alcoholism: Chronic alcoholism is strongly associated with decreased magnesium levels. Alcohol can lead to magnesium depletion due to poor dietary intake, increased renal excretion, and impaired magnesium absorption.
B. Renal failure: Renal failure typically leads to an increase in magnesium levels because the kidneys are unable to excrete it effectively. Therefore, renal failure is more commonly associated with hypermagnesemia, not hypomagnesemia.
C. Addison's disease: Addison's disease is primarily related to adrenal insufficiency, affecting sodium, potassium, and cortisol levels, but it does not typically result in decreased magnesium levels. Hypomagnesemia is not a hallmark of Addison's disease.
D. Uncontrolled diabetes mellitus: Uncontrolled diabetes can lead to electrolyte imbalances, including potassium and sodium, but it is not directly linked to magnesium deficiency. Although magnesium loss can occur in DKA, it is not as strongly associated with diabetes as it is with chronic alcoholism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Metabolic acidosis: Metabolic acidosis is caused by an accumulation of acid or loss of bicarbonate, not by carbon dioxide retention. While hypoventilation can cause a buildup of CO2, this condition is primarily associated with respiratory acidosis.
B. Respiratory acidosis: Hypoventilation leads to the retention of carbon dioxide (CO2), which increases the concentration of carbonic acid in the blood, causing a decrease in blood pH. This results in respiratory acidosis, making it the correct acid-base imbalance to focus on.
C. Metabolic alkalosis: Metabolic alkalosis occurs when there is an excess of bicarbonate or a loss of hydrogen ions, and it is not related to the retention of CO2 from hypoventilation.
D. Respiratory alkalosis:This occurs when excessive CO2 is exhaled due to hyperventilation, not hypoventilation. Hypoventilation results in CO2 retention, which leads to acidosis, not alkalosis.
Correct Answer is B
Explanation
A. Client taking furosemide (Lasix): Furosemide is a diuretic that primarily affects urine volume and does not directly increase insensible water loss. Insensible water loss refers to water lost through skin and respiratory routes, not through urination.
B. Anxious client who has tachypnea: Tachypnea, or rapid breathing, increases the rate of water loss through the respiratory system (insensible water loss). When breathing rapidly, the body loses more moisture in the form of vapor, making this client at greatest risk.
C. Client who is on fluid restrictions: Although fluid restrictions limit overall intake, this does not increase the risk for insensible water loss, which occurs primarily through skin and respiratory loss. Fluid restriction impacts overall fluid balance rather than insensible losses.
D. Client who is constipated with abdominal pain: Constipation and abdominal pain may contribute to some discomfort or difficulty with fluid intake, but they are not related to increased insensible water loss.
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