Week 5: Sherpath: Nursing Diagnosis and Planning Related to Electrolyte Imbalances Questions and Verified Answers

Week 5: Sherpath: Nursing Diagnosis and
Planning Related to Electrolyte Imbalances
Questions and Verified Answers
Which assessment data should the nurse use in the "related to" portion of the
nursing diagnostic statement for Risk for electrolyte imbalance? Choose all that
apply.

Select all that apply.




A. Diarrhea

B. Emesis

C. Diuretic use

D. Muscle cramps

E. Cardiac arrhythmia Correct Answer: A, B and C

Diarrhea

-Diarrhea is a "related to" factor that supports the nursing diagnosis of Risk for
electrolyte imbalance.




Emesis

-Emesis, or vomiting, is a "related to" factor that supports the nursing diagnoses of
Risk for electrolyte imbalance.

, Diuretic use

-Diuretic use is a "related to" factor that supports the nursing diagnosis of Risk for
electrolyte imbalance.

The nurse identifies acute pain as one of Mr. Johnson's priority nursing diagnoses,
which is evidenced by muscle cramps. What is the "related to" data to complete the
nursing diagnostic statement for Mr. Johnson's plan of care?




A. Hypocalcaemia

B. Hyponatremia

C. Hypomagnesemia

D. Hypokalemia Correct Answer: D. Hypokalemia.




Mr. Johnson's basic metabolic panel reveals a potassium level of 2.8 mEq/L,
indicating hypokalemia. Mr. Johnson's nursing diagnostic statement is Acute pain
related to hypokalemia, as evidenced by muscle cramping.

Mr. Johnson's assessment data reveals hypokalemia and muscle cramping leading to
a priority nursing diagnosis of Pain. Which need, according to Maslow, supports
this nursing diagnosis as a priority?




A. Safety

B. Physiological