NUR 155 Fluid and Electrolyte Review
Questions and Correct Answers
Hypokalemia ✅muscle weakness
Leg cramps
Anorexia
N&V
Decreased bowel sounds and mobility
Cardiac dysrhythmias
Depressed DTR
Weak irregular pulse
Low potassium
Less then 3.5 meq/L
Hypokalemia nursing interventions ✅monitor heart rate and rhythm,
Monitor clients receiving digitalis,
Administer oral potassium as ordered with fluid to prevent gastric irritation,
Administer IV potassium solutions,
Teach the client about potassium-rich foods,
Teach clients how to prevent excessive loss of potassium
Hyperkalemia S/S ✅GI hyperactivity
Diarrhea
Irritability
Apathy
Confusion
Cardiac dysrhythmia or arrest
Mussel weakness
Areflexia
Decreased HR
Irregular pulse
Paresthesias and numbness in extremities
Hyperkalemia nursing interventions ✅closely monitor cardiac status and ECG,
administer diuretics, administer glucose or insulin, hold potassium supplements and
potassium conserving diuretics, teach clients to avoid foods high in potassium
ECF (extracellular fluid) contains ✅sodium, chloride, and bicarbonate
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