Which electrolyte imbalance is most likely to cause abdominal pain, urinary retention, and confusion?
Sodium (Na+)
Calcium (Ca2+)
Chloride (Cl-)
Phosphates (PO4^3^-)
Potassium (K+)
The Correct Answer is B
Choice A reason: Sodium (Na+) imbalance can cause neurological symptoms such as confusion, seizures, or coma, but not abdominal pain or urinary retention.
Choice B reason: Calcium (Ca2+) imbalance can cause abdominal pain, urinary retention, and confusion, as well as muscle weakness, bone pain, and cardiac arrhythmias. These signs are the result of an inadequate supply of calcium, which is essential for nerve and muscle function, as well as bone health.
Choice C reason: Chloride (Cl-) imbalance can cause acid-base disorders such as metabolic acidosis or alkalosis, but not abdominal pain, urinary retention, or confusion.
Choice D reason: Phosphates (PO4^3^-) imbalance can cause bone and muscle problems, such as rickets, osteomalacia, or tetany, but not abdominal pain, urinary retention, or confusion.
Choice E reason: Potassium (K+) imbalance can cause cardiac and neuromuscular symptoms, such as arrhythmias, palpitations, muscle weakness, or paralysis, but not abdominal pain, urinary retention, or confusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is correct because 3.5 to 5.0 mEq/L is the normal range of serum potassium level in adults. Potassium is an electrolyte that is important for nerve and muscle function, as well as acid-base balance.
Choice B reason: This is incorrect because 8.5 to 10.5 mg/dL is the normal range of serum calcium level in adults, not potassium. Calcium is an electrolyte that is involved in bone health, muscle contraction, and blood clotting.
Choice C reason: This is incorrect because 135 to 145 mEq/L is the normal range of serum sodium level in adults, not potassium. Sodium is an electrolyte that is essential for fluid balance, nerve transmission, and muscle contraction.
Choice D reason: This is incorrect because 1.8 to 2.6 mEq/L is the normal range of serum magnesium level in adults, not potassium. Magnesium is an electrolyte that is important for muscle and nerve function, as well as enzyme activity.
Correct Answer is C
Explanation
Choice A reason: One slice of wheat bread is not the best source of potassium, as it contains only about 70 mg of potassium per serving. The recommended daily intake of potassium for adults is 4,700 mg.
Choice B reason: One wedge of cantaloupe is a good source of potassium, as it contains about 430 mg of potassium per serving. However, it is not the best source of potassium among the choices given.
Choice C reason: One banana is the best source of potassium among the choices given, as it contains about 420 mg of potassium per serving. Bananas are also rich in fiber, vitamin C, and antioxidants.
Choice D reason: One slice of cheddar cheese is not the best source of potassium, as it contains only about 28 mg of potassium per serving. Cheese is also high in sodium, fat, and calories, which can have negative effects on blood pressure and cholesterol levels.
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