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NCLEX PREP: ATI Electrolyte Imbalance Review| Questions and Correct Answer
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NCLEX PREP: ATI Electrolyte ImbalanceReview| Questions and Correct Answers
What are neuromusculoskeletal expected findings in a patient who is Hypokalemic? -
Ans Ascending bilateral muscle weakness with respiratory collapse and paralysis,
muscle cramping, decreased muscle tone and hypoactive reflexes, paresthesias, and
mental confusion
What are EKG findings of a patient who is hypokalemic? - Ans PVC's, bradycardia,
blocks, ventricular tachycardia, flattening T waves, and ST depression
What are GI findings of a patient who is hypokalemic? - Ans Decreased motility,
hypoactive bowel sounds, abdominal distention, constipation, ileus, nausea,
vomiting, and anorexia
What are are the nursing care actions for a patient with hypokalemia? - Ans Replace
potassium by oral potassium supplement of dietary education
This E- imbalance is a serum level of greater than 5. It is result of inadequate renal
excretion and is potentially life threatening due to arrhythmias and cardiac arrests -
Ans Hyperkalemia
What are expected vital signs of a patient experiencing Hyperkalemia? - Ans Slow
irregular pulse and hypotension
, What are expected neuromusculoskeletal findings of a patient with hyperkalemia? - Ans
Irritability, confusion, weakness with ascending flaccid paralysis, paresthesias, and lack
of reflexes
What are EKG findings of a patient with hyperkalemia? - Ans Ventricular fibrillation,
peaked T waves, widened QRS, and cardiac arrest
What are GI symptoms of a patient with hyperkalemia? - Ans Increased motility,
diarrhea, abdominal cramps, and hyperactive bowel sounds
Decreasing potassium intake, administering IV fluids with dextrose and regular
insulin, monitoring cardiac rhythms and maintaining IV access are all nursing care for
clients with which electrolyte imbalance? - Ans Hyperkalemia
These are minerals present in all bodily fluids that help regulate fluid balance and
hormone production. They strengthen skeletal structures, and act as catalysts in nerve
response, muscle contraction, and the metabolism of nutrients - Ans Electrolytes
What are the six major electrolytes in the body? - Ans Sodium& Potassium, Magnesium
& Chloride, and Phosphorus and Calcium
Where are electrolytes distributed? Or rather, what are they distributed between? -
Ans Intracellular and extracellular fluid (ICF&ECF)
infants, children, older adults, clients who have cognitive disorders, and clients who
have chronic illnesses are at the greatest risk for what? - Ans electrolyte imbalances
This is the the major electrolyte found in the ECF and is present in most bodily fluid or
secretions. It is essential for maintenance of acid-base and fluid balance, active and
passive transport mechanisms, and irritability and conduction of nerve and muscle
tissue. - Ans SODIUM
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