🐸 Electrolyte Leap: Nursing Actions

Froggy Jumps

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Nursing actions for electrolyte emergencies.

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RNPRPEPBESTIE

United States

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🐸 Electrolyte Leap: Nursing Actions


Froggy Jumps 🐸 Electrolyte Leap: Nursing ActionsOnline version Nursing actions for electrolyte emergencies. by RNPRPEPBESTIE 1 A patient receiving IV potassium for severe hypokalemia reports burning at the IV site. The infusion is running at 10 mEq/hr through a peripheral line. Which action should the nurse take first? a Increase the infusion rate to complete the dose sooner. b Slow the infusion and assess the IV site for infiltration. c Flush the line rapidly with normal saline. 2 A patient receiving 3% hypertonic saline for severe hyponatremia becomes confused and reports a sudden severe headache. Their blood pressure has increased since the infusion began. What is the nurse’s priority action? a Continue the infusion and reassess in 15 minutes. b Stop the infusion and notify the provider immediately. c Lower the infusion rate and document the change. 3 A patient being treated for hypomagnesemia suddenly becomes flushed, lethargic, and shows absent reflexes with a respiratory rate of 8. What is the nurse’s priority action? a Stop the magnesium infusion and prepare calcium gluconate. b Cut the infusion rate by half and monitor closely. c Increase IV fluids to promote magnesium excretion. 4 A postoperative thyroidectomy patient with known hypocalcemia reports throat tightness and difficulty speaking. Their hands are twitching, and they appear panicked. What is the priority action? a Apply warm blankets to reduce neuromuscular irritability. b Assess the airway and notify the provider immediately. c Reassure the patient and obtain a repeat calcium level. 5 A patient receiving IV furosemide becomes weak and develops new PVCs on telemetry. Morning labs are pending. What should the nurse do first? a Continue the diuretic to reduce fluid overload. b Hold the diuretic and obtain the stat potassium result. c Reduce the diuretic dose and reassess later. 6 A patient receiving loop diuretics develops weakness, shallow respirations, and confusion. Telemetry shows flattened T waves. Which action should the nurse take first? a Increase oral fluid intake to support electrolyte balance. b Initiate potassium replacement per protocol and notify the provider. c Encourage deep breathing exercises and reassess in 30 min. 7 A patient with hypercalcemia from metastatic cancer becomes drowsy and complains of severe flank pain. Urine output has decreased over the past 6 hours. What is the nurse’s priority intervention? a Limit fluid intake until the pain improves. b Encourage bedrest to reduce discomfort. c Increase IV fluids as ordered to promote calcium excretion. 8 A patient with acute kidney injury is nauseated and weak, with tall peaked T waves visible on the ECG. They are taking spironolactone for hypertension. What is the priority action? a Continue spironolactone to maintain blood pressure control. b Encourage the patient to increase potassium-rich foods. c Initiate continuous cardiac monitoring and prepare for treatment.

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🐸 Electrolyte Leap: Nursing Actions

Froggy Jumps

About this activity

Created by

Download the paper version to play

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🐸 Electrolyte Leap: Nursing ActionsOnline version

by RNPRPEPBESTIE

A patient receiving IV potassium for severe hypokalemia reports burning at the IV site. The infusion is running at 10 mEq/hr through a peripheral line. Which action should the nurse take first?

A patient receiving 3% hypertonic saline for severe hyponatremia becomes confused and reports a sudden severe headache. Their blood pressure has increased since the infusion began. What is the nurse’s priority action?

A patient being treated for hypomagnesemia suddenly becomes flushed, lethargic, and shows absent reflexes with a respiratory rate of 8. What is the nurse’s priority action?

A postoperative thyroidectomy patient with known hypocalcemia reports throat tightness and difficulty speaking. Their hands are twitching, and they appear panicked. What is the priority action?

A patient receiving IV furosemide becomes weak and develops new PVCs on telemetry. Morning labs are pending. What should the nurse do first?

A patient receiving loop diuretics develops weakness, shallow respirations, and confusion. Telemetry shows flattened T waves. Which action should the nurse take first?

A patient with hypercalcemia from metastatic cancer becomes drowsy and complains of severe flank pain. Urine output has decreased over the past 6 hours. What is the nurse’s priority intervention?

A patient with acute kidney injury is nauseated and weak, with tall peaked T waves visible on the ECG. They are taking spironolactone for hypertension. What is the priority action?