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:
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?
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Hypomagnesemia increases neuromuscular excitability. What is the lethal cardiac dysrhythmia associated with low magnesium?
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A client is receiving IV magnesium sulfate for preeclampsia. Which assessment finding indicates magnesium toxicity?
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A client with Chronic Kidney Disease is prescribed calcium acetate (a phosphate binder). When should the nurse administer this medication?
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List three key clinical indicators of Fluid Volume Deficit (hypovolemia).
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What is the primary respiratory sign of Fluid Volume Excess, and what happens to the neck veins?
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Complete the statements regarding fluid movement:
Question
Severe hypophosphatemia (<2.5 mg/dL) impacts ATP production. What is the priority system to monitor for failure?
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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}}.
Question
Which statement correctly describes the relationship between calcium and phosphorus in the body?
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A nurse is preparing to administer 3% NaCl to a client with severe hyponatremia. What is the priority nursing action?
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Differentiate the cardiovascular assessment findings:
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?