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    Ati Rn 61 Med Surg Proctored Exam

    A nurse conducts an evaluation for a client in a primary care setting. Based on the scenario, determine the most appropriate planned actions for the client experiencing symptoms indicative of electrolyte imbalance, possibly linked to an endocrine dysfunction.

    Explanation & Rationale

    Rationale: Monitor urine specific gravity – Anticipated: Helps assess hydration status and renal function, which is important in electrolyte imbalance. Withhold fluids in cases of excessive urine excretion – Contraindicated: Restricting fluids in a client with low sodium and possible renal or endocrine dysfunction could worsen dehydration and electrolyte imbalance. Administer fasting insulin – Contraindicated: The client does not have hyperglycemia; insulin would be inappropriate and potentially dangerous. Provide oral potassium supplements – Anticipated: Corrects hypokalemia, which is causing muscle cramps and weakness.

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