NCLEX-RN

Category - Physiological

Donnie was taken to the hospital because of a dry, swollen tongue and sticky oral mucosa. Further assessment shows flushed skin, mild fever, and mild peripheral edema. The nurse suspects which electrolyte imbalance?
  1. Hyperchloremia
  2. Hypernatremia
  3. Hyperkalemia
  4. Hyperphosphatemia
Explanation
Answer: B - The client’s symptoms strongly indicate hypernatremia. Hypernatremia may be caused by concentrated extracellular fluid resulting in cellular dehydration. An initial and common characteristic of hypernatremia is thirst. Option A hyperchloremia, rarely exhibits symptoms and is iatrogenic in nature. Hyperkalemia is associated with dysrhythmias while hyperphosphatemia’s signs and symptoms are similar to hypocalcemia.
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