An older patient with a history of sodium retention arrives to at ...

[faduma]

An older patient with a history of sodium retention arrives to at the clinic with the complaints of heart skipping beats and leg tremors. What should the nurse ask this patient regarding these symptoms?
 
  1. Have you stopped taking your digoxin medication?
  2. When was the last time you had a bowel movement?
  3. Were you doing any unusual physical activity?
  4. Are you using a salt substitute?

Question 2

A 28-year-old male patient is admitted with diabetic ketoacidosis. Which electrolyte should the nurse expect to be replaced in this patient?
 
  1. sodium
  2. potassium
  3. calcium
  4. magnesium

[choc0chan]

Answer to Question 1

Correct Answer: 4

The patient has a history of sodium retention and might think that a salt substitute can be used. Advise patients who are taking a potassium supplement or potassium-sparing diuretic to avoid salt substitutes, which usually contain potassium. Although this patient may be prescribed digoxin this is not the primary focus of this question. The patient's bowel habits are not of concern at this time. The cardiac and musculoskeletal discomforts being reported are not consistent with physical exertion.

Answer to Question 2

Correct Answer: 4

One risk factor for hypomagnesaemia is an endocrine disorder, including diabetic ketoacidosis. The patient's levels of sodium, potassium, and calcium are not the primary needs of this patient.