Cueprepcueprep

NCLEX-RN Electrolyte Imbalances Flashcards

Master 20 electrolyte imbalances concepts for the NCLEX-RN.

Question

What are the priority ECG changes seen in hyperkalemia, and which medication is given specifically to protect the heart?


Question

A client has a potassium level of 3.2 mEq/L. Which nursing action regarding potassium replacement is the absolute priority for safety?


Question

What is the primary neurological manifestation of hypernatremia, and what is the underlying cellular cause?


Question

Select the appropriate intervention for the type of hyponatremia:


For dilutional hyponatremia, the priority is . For severe hyponatremia with seizures, the priority is .

Question

Recall the classic mnemonic rhyme for hypercalcemia symptoms ('Bones, stones...'), and name the priority fluid intervention.


Question

The nurse inflates a blood pressure cuff on a client's arm and observes carpal spasm. How should this finding be documented?


Question

Hypomagnesemia increases neuromuscular excitability. What is the lethal cardiac dysrhythmia associated with low magnesium?


Question

A client is receiving IV magnesium sulfate for preeclampsia. Which assessment finding indicates magnesium toxicity?


Question

A client with Chronic Kidney Disease is prescribed calcium acetate (a phosphate binder). When should the nurse administer this medication?


Question

List three key clinical indicators of Fluid Volume Deficit (hypovolemia).


Question

What is the primary respiratory sign of Fluid Volume Excess, and what happens to the neck veins?


Question

Complete the statements regarding fluid movement:


Hypotonic fluids move water the cell. Isotonic fluids stay the intravascular space.

Question

Severe hypophosphatemia (<2.5 mg/dL) impacts ATP production. What is the priority system to monitor for failure?


Question

In Refeeding Syndrome, the rapid introduction of carbohydrates causes a dangerous shift of which electrolyte into the cells?


Question

Due to the reciprocal relationship, high phosphorus causes {{1}}. Therefore, the patient displays signs such as {{2}}.


High phosphorus causes. Therefore, the patient displays signs such as .

Question

Which statement correctly describes the relationship between calcium and phosphorus in the body?


Question

A nurse is preparing to administer 3% NaCl to a client with severe hyponatremia. What is the priority nursing action?


Question

Differentiate the cardiovascular assessment findings:


Fluid Volume Deficit presents with . Fluid Volume Excess presents with .

Question

Define third-spacing and explain why a patient can be hypotensive despite having edema.


Question

Which assessment finding best indicates that a client is experiencing third-spacing of fluids?