Electrolytes Question #53

Question

An older client with delirium has an electrolyte imbalance. Which would the nurse identify as a risk factor for this client?

Answers

  1. Stroke
    • Rationale:
  2. Dehydration
    • Rationale:
  3. Renal failure
    • Rationale:
  4. Bleeding
    • Rationale:

Overview

Explanation

The correct answer is B. Electrolyte imbalance is typically caused by loss of bodily fluids, such as through diarrhea, vomiting, and sweating. Delirium can be a sign of an electrolyte imbalance which can be caused by inadequate fluid intake. An electrolyte imbalance is not a risk factor for a stroke, renal failure, or bleeding..

NCLEX TIP: Using critical thinking is recommended when reading priority questions. Recognizing key words in the answer choices will allow you to know how to choose the correct answer for the question. Go through each answer choice and decide is it: Maslow’s hierarchy, safety-related, or following the nursing process (ADPIE). Never complete a nursing action that is outside the scope of practice.

Learning Outcomes

Test Taking Tip

Video Rationale