What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?

Hypokalemia

Hypocalcemia

Hypernatremia

Hyperphosphatemia

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Hypotension: Fluid overload typically causes hypertension, not hypotension.

B. Polyuria: ESRD patients typically have oliguria or anuria, not excessive urine output.

C. Weight loss: Fluid overload leads to weight gain due to fluid retention.

D. Edema: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function. Clients may also experience hypertension, dyspnea, and crackles.

A. “This is called a thrill and it means that your fistulas not working.” B. "This is not a normal sign will call your provider right away.” C. "This is called a bruit and it shows that your fistula patent." D. “This is called a thrill and it means that your fistula is patent.”

Correct Answer is D

Explanation

A. “This is called a thrill and it means that your fistula is not working.” A thrill is a normal finding and means the fistula is functioning properly.

B. "This is not a normal sign; we will call your provider right away.” A lack of thrill is abnormal, not the presence of one.

C. "This is called a bruit and it shows that your fistula is patent." The thrill is felt and the bruit is heard.

D. "This is called a thrill and it means that your fistula is patent." A thrill (vibration) is a normal finding in an AV fistula and indicates adequate blood flow. A bruit (whooshing sound) is heard on auscultation and also confirms patency.

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What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following manifestations are commonly seen in an end stage renal disease patient with fluid overload?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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