What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?
Hypokalemia
Hypocalcemia
Hypernatremia
Hyperphosphatemia
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Place the client on seizure precautions: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.
B. Encourage the client to breathe slowly: Slow breathing retains CO₂, which worsens alkalosis. The body needs hypoventilation, but this cannot be forced.
C. Plan to administer sodium bicarbonate to the client: Sodium bicarbonate worsens alkalosis and is only used in metabolic acidosis, not alkalosis.
D. Have the client breathe into a paper bag: This is a treatment for respiratory alkalosis, not metabolic alkalosis.
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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