When caring for a client with an acid-base imbalance, which serum electrolytes are essential for a nurse to monitor? (Select 2 that apply)

Magnesium

Sodium

Potassium

Calcium

Phosphate

Answer and Explanation

Correct Answer : A,C

Rationale:
A. Magnesium plays a role in acid-base balance and influences potassium levels.
B. Sodium is important but less directly related to acid-base balance than potassium and magnesium.
C. Potassium is critical to monitor because acid-base imbalances often cause shifts in potassium levels, affecting cardiac function.
D. Calcium levels can be affected but are less immediately critical than potassium and magnesium.
E. Phosphate is involved in metabolism but is not a primary electrolyte monitored for acid-base balance.

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Correct Answer is D

Explanation

Rationale:
A. Cabbage is low in potassium and not ideal for correcting hypokalemia.
B. White rice is low in potassium and does not help increase potassium levels.
C. Cheddar cheese contains minimal potassium and is not effective for raising serum potassium.
D. Bananas are rich in potassium and are appropriate to help correct hypokalemia caused by furosemide use.

A. Chloride 105 mEq/L B. Calcium 9.6 mEq/L C. Sodium 151 mEq/L D. Potassium 3.8 mEq/L

Correct Answer is C

Explanation

Rationale:

A. Chloride 105 mEq/L is within the normal range (98–106 mEq/L) and does not require reporting.

B. Calcium 9.6 mEq/L is a normal calcium level (normal range: 8.5–10.5 mEq/L).

C. Sodium 151 mEq/L is above the normal sodium range (135–145 mEq/L) and indicates hypernatremia. This could affect neurological function and fluid balance, especially important to correct prior to surgery.

D. Potassium 3.8 mEq/L is within the normal range (3.5–5.0 mEq/L).

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When caring for a client with an acid-base imbalance, which serum electrolytes are essential for a nurse to monitor? (Select 2 that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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