NUR 155 Fluid and Electrolyte, with complete solutions...
NUR 155: Fluid and Electrolyte
Study online at https://quizlet.com/_8kbppy
1. 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
2. Hypokalemia monitor heart rate and rhythm,
nursing monitor clients receiving digitalis,
interventions 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
3. 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
4.
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Page 1 of 6
, NUR 155 Fluid and Electrolyte, with complete solutions...
NUR 155: Fluid and Electrolyte
Study online at https://quizlet.com/_8kbppy
Hyperkalemia closely monitor cardiac status and ECG, administer diuretics, administer glucose
nursing or insulin, hold potassium supplements and potassium conserving diuretics, teach
interventions clients to avoid foods high in potassium
5. ECF (extracellular sodium, chloride, and bicarbonate
fluid) contains
6. ICF (intracellular potassium, magnesium, phosphate
fluid) contains
7. Sodium labs 135-145 mEq/L
8. Potassium labs 3.5-5 mEq/L
9. Calcium labs 8.9-10.5 mEq/L
10. Hypercalcemia Lethargy, weakness, depressed DTR, bone pain, anorexia, N&V, constipation,
S/S polyuria, hypercalciuria, flank side pain secondary to urinary calculi, dysrhythmias,
possible MI
Greater than 10.5 mEq/L
11. Hypercalcemia increase client movement and exercise, encourage oral fluids as permitted to
nursing maintain a dilute urine, teach clients to limit intake of calcium, encourage ingestion
interventions of fiber to prevent constipation, protect a confused client, monitor for pathologic
fractures, encourage intake of acid-ash fluids to counteract deposits of calcium
salts in urine
12. Hypocalcemia Numbness, Tingling of extremities and around mouth, Convulsions, Positive
S/S Chvostek sign, Positive Trousseau sign, *Pt at risk for tetany.
13. Hypocalcemia monitor respiratory and cardiovascular status, take precautions to protect a con-
nursing fused client, administer oral or parenteral calcium supplements, teach clients about
interventions dietary sources high in calcium and regular exercise
2/6
Page 2 of 6
NUR 155: Fluid and Electrolyte
Study online at https://quizlet.com/_8kbppy
1. 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
2. Hypokalemia monitor heart rate and rhythm,
nursing monitor clients receiving digitalis,
interventions 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
3. 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
4.
1/6
Page 1 of 6
, NUR 155 Fluid and Electrolyte, with complete solutions...
NUR 155: Fluid and Electrolyte
Study online at https://quizlet.com/_8kbppy
Hyperkalemia closely monitor cardiac status and ECG, administer diuretics, administer glucose
nursing or insulin, hold potassium supplements and potassium conserving diuretics, teach
interventions clients to avoid foods high in potassium
5. ECF (extracellular sodium, chloride, and bicarbonate
fluid) contains
6. ICF (intracellular potassium, magnesium, phosphate
fluid) contains
7. Sodium labs 135-145 mEq/L
8. Potassium labs 3.5-5 mEq/L
9. Calcium labs 8.9-10.5 mEq/L
10. Hypercalcemia Lethargy, weakness, depressed DTR, bone pain, anorexia, N&V, constipation,
S/S polyuria, hypercalciuria, flank side pain secondary to urinary calculi, dysrhythmias,
possible MI
Greater than 10.5 mEq/L
11. Hypercalcemia increase client movement and exercise, encourage oral fluids as permitted to
nursing maintain a dilute urine, teach clients to limit intake of calcium, encourage ingestion
interventions of fiber to prevent constipation, protect a confused client, monitor for pathologic
fractures, encourage intake of acid-ash fluids to counteract deposits of calcium
salts in urine
12. Hypocalcemia Numbness, Tingling of extremities and around mouth, Convulsions, Positive
S/S Chvostek sign, Positive Trousseau sign, *Pt at risk for tetany.
13. Hypocalcemia monitor respiratory and cardiovascular status, take precautions to protect a con-
nursing fused client, administer oral or parenteral calcium supplements, teach clients about
interventions dietary sources high in calcium and regular exercise
2/6
Page 2 of 6
