The nurse is caring for a client who has a history of Chronic alcoholism and is experiencing increased blood pressure, hyperactive deep tendon reflexes, abdominal distention, and mood changes. Which electrolyte imbalance does the client have?

Hypomagnesemia

Hypermagnesemia

Hypocalcemia

Hypercalcemia

Answer and Explanation

The Correct Answer is A

A. Hypomagnesemia is common in chronic alcoholism and can cause increased blood pressure, hyperactive reflexes, abdominal issues, and mood changes.
B. Hypermagnesemia typically causes decreased reflexes and hypotension.
C. Hypocalcemia can cause neuromuscular irritability but is less directly associated with these symptoms in alcoholism.
D. Hypercalcemia generally causes decreased reflexes and lethargy.

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Correct Answer is C

Explanation

A. Dependent positioning can increase the risk of venous pooling and thrombosis.
B. Doppler ultrasound may be used if there is a suspicion of thrombosis but is not a standard preventative intervention.
C. Early ambulation and leg exercises promote circulation and reduce the risk of deep vein thrombosis, which is increased by oral contraceptive use.
D. Stopping oral contraceptives pre- or postoperatively is a physician’s decision, not a nursing intervention.

A. Polyuria B. Flaccid paralysis C. Absent P waves D. Diarrhea

Correct Answer is B

Explanation

A. Polyuria is not a typical sign of hypokalemia.
B. Flaccid paralysis is a sign of severe hypokalemia due to muscle weakness.
C. Absent P waves are typically seen in hyperkalemia, not hypokalemia.
D. Diarrhea can cause potassium loss but is not a direct sign of low potassium.

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The nurse is caring for a client who has a history of Chronic alcoholism and is experiencing increased blood pressure, hyperactive deep tendon reflexes, abdominal distention, and mood changes. Which electrolyte imbalance does the client have?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse caring for a client post-colon resection assesses the client on the second postoperative day. The nasogastric be remains patent and is draining moderate amounts of greenish fluid. Which assessment finding would suggest that the client's potassium level is too low?

Correct Answer is B

Explanation

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