Questions and Answers
The nurse identifies hypokalemia in a patient. Which findings on the nursing assessment may be associated with this electrolyte imbalance? (Select all that apply)
Which electrolyte imbalance should the nurse use as the 'as evidenced by' portion for the nursing diagnosis of Imbalanced nutrition: less than body requirements?
Hypercalcemia
Which indicators should the nurse monitor to determine the effectiveness of the current plan of care for decreased cardiac output related to electrolyte imbalance?
What is an accurate goal that the nurse should include for the nursing diagnosis Risk for impaired skin integrity?
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Which nursing diagnosis should the nurse include in the updated patient plan of care for a patient showing edema and shortness of breath?
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What is an accurate goal statement for the nursing diagnosis Risk for electrolyte imbalance?
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Which goal should the nurse include in the plan of care for a patient with acute pain related to electrolyte imbalances?
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Study Notes
Nursing Diagnosis and Electrolyte Imbalances
- Hypokalemia is associated with bradycardia, hypertension, poor muscle tone, and poor skin turgor.
- Imbalanced nutrition due to anorexia, nausea, and vomiting is linked to hypercalcemia as an electrolyte imbalance in the nursing diagnosis.
Nursing Diagnosis Planning
- For Decreased cardiac output related to electrolyte imbalance, monitor:
- Blood pressure for cardiovascular stability.
- Heart sounds to assess cardiac function.
Risk for Impaired Skin Integrity
- Mr. Johnson, displaying poor skin turgor, has a goal for the nurse to ensure he reports any altered sensation or pain in high-risk areas promptly.
Fluid Volume Excess
- Patients with edema and shortness of breath should have the nursing diagnosis of Fluid volume excess, highlighting electrolyte imbalance.
Electrolyte Imbalance Goals
- For older adults with nausea, vomiting, and diarrhea, aim for a serum potassium level within the normal range of 3.5-5.0 mEq/L during hospitalization.
Acute Pain Management
- Set a goal for patients experiencing acute pain from muscle cramping, aiming for a pain rating no higher than 3 on a scale of 1 to 10 within an hour of treatment initiation.
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Description
Test your knowledge on nursing diagnoses related to electrolyte imbalances with these flashcards. This quiz covers conditions such as hypokalemia and their associated assessment findings. Enhance your understanding of nursing interventions in managing electrolyte issues.
