When aldosterone is released what electrolyte changes would the nurse expect to occur quizlet?

An older adult patient is admitted to the emergency department for hypovolemia. After 500 mL of 0.9% NaCl is delivered intravenously over 1 hour, the assessment shows: blood pressure of 167/88 mm Hg, heart rate 110 beats per minute, and crackles bilaterally. What should the nurse determine from this situation?
-The patient has been properly rehydrated.
Rationale: Hypertension, tachycardia, and crackles are signs of hypervolemia; therefore, proper rehydration did not take place.
-The patient continues to be hypovolemic.
Rationale: The hypertension, tachycardia, and crackles are signs of hypervolemia. If the patient continued to have hypovolemia, they would be hypotensive, tachycardic, and without crackles.
-The patient is showing signs of hypervolemia.
Rationale: This is correct. These assessment changes demonstrate that too much fluid was given too quickly. The fluid needs to be stopped and the provider needs to be notified.
-The patient is showing no change in condition.
Rationale: These symptoms demonstrate excess fluid has been given and the patient is no longer hypovolemic.

The nurse is admitting a patient with confusion and hallucinations. The laboratory report shows hyponatremia, normal potassium, hypomagnesemia, and hypocalcemia. What priority actions should the nurse take? Select all that apply.
-Complete a thorough neurological assessment.
Rationale: Besides the confusion and hallucinations, the patient is hyponatremic, which could cause cerebral edema and a deterioration of the neurological status.
-Assess for an irregular pulse.
Rationale: Although the potassium is within a normal range, the magnesium is low, which can cause premature ventricular contractions (PVCs) and other cardiac dysrhythmias.
-Implement fall precautions.
Rationale: Because of the confusion, hallucinations, and hyponatremia, this patient is at risk for fall and needs to be kept safe.
-Determine how much alcohol the patient drinks.
Rationale: Hypomagnesemia is often a result of alcoholism. If the nurse is unable to determine how much the patient drinks, it is likely that he or she will be placed on precautions for delirium tremors (DTs).
-Evaluate for tremors and muscle weakness.
Rationale: Tremors and muscle weakness could be a result of the electrolyte imbalances and needs to be assessed to determine if it is improving or deteriorating with treatment.

ANS: C
Initially after major burns, there is a hypometabolic phase, which lasts for 2 or 3 days. A hypermetabolic phase follows, characterized by increased body temperature, oxygen and glucose consumption, carbon dioxide production, glycogenolysis, proteolysis, and lipolysis. This response continues for up to 9 months. A diet high in protein and calories is necessary. Healing, not growth, is the primary consideration. Many children have poor appetites, and supplementation is necessary. Hypoglycemia, not hyperglycemia, can occur from the stress of burn injury because the liver glycogen stores are rapidly depleted.

Sets with similar terms

A child is diagnosed with starvation ketoacidosis (a metabolic acidosis). What clinical manifestations should the nurse anticipate when assessing the child?

Rapid, deep breathing, lethargy, abdominal pain

Rapid, deep breathing, tremors, attention deficit disorder

Slow, shallow breathing, belligerence, hyperexcitability

Slow, shallow breathing, numbness and tingling around the mouth

Recommended textbook solutions

The Human Body in Health and Disease

7th EditionGary A. Thibodeau, Kevin T. Patton

1,505 solutions

Clinical Reasoning Cases in Nursing

7th EditionJulie S Snyder, Mariann M Harding

2,512 solutions

Pharmacology and the Nursing Process

7th EditionJulie S Snyder, Linda Lilley, Shelly Collins

382 solutions

Mecánica de Materiales

8th EditionBarry J. Goodno, James M. Gere

1,037 solutions