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 D
Explanation
A. Magnesium sulfate: Magnesium sulfate is used for eclampsia and torsades de pointes, not for reducing shivering.
B. Kayexalate: This medication is used for hyperkalemia, not temperature control.
C. Acetaminophen: While useful for fever, acetaminophen does not stop shivering.
D. Diazepam: Shivering increases metabolic demand and body temperature. Diazepam (a benzodiazepine) is a muscle relaxant that helps control shivering in hyperthermic clients.
Correct Answer is C
Explanation
A. During dialysis: Some drugs can bind to the dialysis membrane or be removed unpredictably.
B. Give as scheduled: If given before dialysis, the drugs may be removed from circulation.
C. After returning from dialysis: Dialysis removes medications from the bloodstream. Giving medications before dialysis may result in drug loss. Oral medications should be given after dialysis to ensure proper absorption and effectiveness.
D. Hold the medications for today and restart tomorrow: Unnecessary, as the client needs their medications post-dialysis.
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