Questions wrong

Question 1

ECG changes with hypokalemia

Answer 1

ST segment depression, inverted T waves, prominent U waes

Question 2

the client also has the nsg diagnosis of decreased cardiac output r/t to decreased plasma vol. which assess. supports this nsg diagnosis

Answer 2

1. flattened neck veins when client is in supine position
2. full and bounding pedal & post tibial pulses
3. pitting edema located in feet, ankles and calves
   shallow respirations with crackles on auscultation

Question 3

positive chvostek sign is indicator of?

Answer 3

hypocalcemia

Question 4

UAP asks you why client with chronically low phosph. level needs so much assistance with activities of daily living. what is your best response?

Answer 4

1. client’s low phospho is prob. due to malnutrition
2. client is just worn out from not getting enough rest
3. client’s skeletal muscles are weak b/c of low phosphorous
4. client will do more for himself when his phospho lvl is norm.

musculoskeletal manifestation of low phospho is generalized muscle weakness, which may lead to acute muscle breakdown (rhabdomyolysis). phosphate is necessary for energy production in form of ATP and when not produced leads to generalized muscle weakness

Question 5

normal magnesium level

Answer 5

1.3-2.1

Question 6

with hypovolemic shock, what types of solution can be given?

Answer 6

isotonic solutions such as NS (0.9%), LR D51/4

w/ D5W, body rapidly metabolizes the dextrose and the solution becomes hypotonic. initially, it is isotonic, but turns hypotonic :/