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Exam (elaborations)

NUR1460 Final Exam questions and answers latest topscore.

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NUR1460 Final Exam questions and answers latest topscore. Potassium - correct answers.3.5-5.0 (cardiac) Calcium - correct answers.8.5-10.5 Sodium - correct answers.135-145 (neuro) Magnesium - correct answers.1.3-2.1 (muscular) Chloride - correct answers.99-109 Albumin - correct answers.3.5-5.5 Phosphorus - correct answers.2.7-4.5 pH - correct answers.7.35-7.45 <7.35 ACIDOTIC >7.45 ALKALOTIC HCO3 - correct answers.22-26 <22 ACIDOTIC >26 ALKALOTIC PCO2 - correct answers.35-45 >45 ACIDOTIC <35 ALKALOTIC what are some causes of electrolyte imbalances? - correct hea, vomiting, trauma, MI, excessive sweating, CHF, renal disease/failure, dehydration, acid-base imbalance, cancer treatments, overuse of laxatives or diuretics, bulimia causes of hypokalemia (alkalotic) - correct answers.D-drugs (laxatives, diuretics) I-inadequate amount of potassium in diet T-too much water intake (dilutes) C-Cushing's syndrome H-heavy fluid loss s/s hypokalemia - correct answers.Weak pulses, shallow respirations with diminished breath sounds (due to weakness of accessory muscle movement to breath), confusion, weakness, decreased DTR, decreased bowel sounds. 7 L's: lethargy, low shallow respirations, lethal cardiac dysrhythmias, lots of urine, leg cramps, limp muscles, low BP & heart. Abnormal rhythm, irritability, nausea/vomiting foods high in potassium - correct oes, pork, oranges, tomatoes, avocados, strawberries, spinach, fish, mushrooms, musk melons, cantaloupe, carrots, raisins, bananas causes of hyperkalemia - correct answers.C-cellular movement of potassium from intracellular to extracellular (burns, tissue damage) A-adrenal insufficiency w/ Addison's disease R-renal failure E-excessive potassium intake D-drugs (K sparing diuretics, NSAIDS) s/s hyperkalemia - correct ability and anxiety, hypotension, abdominal cramping, diarrhea, muscle weakness/twitching, little to no urine production, rhythm changes in EKG interventions for hyperkalemia - correct answers.Prepare patient for dialysis if they are renal failure and get dialysis regularly as they will have high potassium. Kayexalate is sometimes ordered, promotes GI sodium absorption which causes potassium excretion, give potassium wasting diuretics like Lasix or hydrochlorothiazide, administer hypertonic solution of glucose and regular insulin to pull potassium into cell (glucagon and insulin). Cut back on foods that are high in potassium causes of hypocalcemia - correct answers.L-low parathyroid hormone O-oral intake inadequate W-wound drainage C-celiac's and Crohn's A-acute pancreatitis L-low vitamin D levels C-chronic kidney issues I-increased phosphorus levels in the blood U-using medications like magnesium supplements, laxatives, loop diuretics, calcium binder drugs M-mobility issues s/s hypocalcemia - correct answers.C-confusion R-reflexes hyperactive

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