Erica's Electrolyte Imbalances and IV Solutions

Front

What is the most serious potential outcome if potassium chloride (KCl) is administered via IV push?

Back

Life-threatening cardiac arrhythmias

Front

Which symptom suggests hypokalemia? Options: Hypertension, Diarrhea, Muscle weakness and thready pulse, Flushed skin and sweating

Back

Muscle weakness and thready pulse

Front

The phrase "Where sodium goes, _____ follows" helps explain how sodium affects fluid balance.

Back

water

Front

In hypertonic solutions, fluid shifts ___________________

Back

from the cells into the intravascular space.

Front

A client with severe hyponatremia is showing confusion and decreased LOC. Which IV fluid would the nurse expect? Options: 0.45% NS, 0.9% NS, 3% or 5% NS (hypertonic saline), D5W

Back

3% or 5% NS (hypertonic saline)

Front

A client with a sodium level of 150 mEq/L is at risk for:

Back

Thirst, muscle twitching, altered mental status

Front

What is the safest way to administer IV potassium? Options: As a bolus over 5 minutes, Using an infusion pump over a prescribed time, Mixed in D5W and given rapidly, Through a subcutaneous route

Back

Using an infusion pump over a prescribed time

Front

Which IV fluid is isotonic and primarily increases volume in the intravascular space? Options: 3% NS, 0.9% NS, 0.45% NS, D5½NS

Back

0.9% NS

Front

Before administering IV electrolytes, which assessment is priority? Options: Liver enzymes, Kidney enzymes, Respiratory rate, Sodium level

Back

Kidney enzymes

Front

A sign of fluid overload due to excess isotonic fluid administration is ________.

Back

pulmonary edema.