Medical Surgical Phosphate #3

Question

The nurse is caring for a client with hypophosphatemia admitted from the emergency department. Which symptoms does the nurse suspect the client was experiencing prior to being hospitalized? Select all that apply.

Answers

  1. Chronic diarrhea
    • Rationale:

      This answer is correct because with chronic diarrhea, the client loses electrolytes specifically phosphate. Hyperparathyroidism also causes the client to have a low phosphorus.

  2. Hyperventilation
    • Rationale:

      This answer is correct because hyperventilation causes the client to lose acid and phosphorus. The client could be in respiratory alkalosis as well.

  3. Vomiting 4-5 times
    • Rationale:

      This answer is correct because vomiting 4-5 times in a short period of time causes the client to lose phosphorus. The body is unable to absorb phosphorus with severe vomiting.

  4. Numbness and tingling
    • Rationale:

      This answer is not correct because numbness and tingling is a sign of hyperphosphatemia, not low phosphorus. Numbness and tingling of the feet or hands may be related to diabetic clients with a low phosphorus as well.

  5. Excessive use of vitamin D
    • Rationale:

      This answer is not correct because excessive use of vitamin D is a sign of hyperphosphatemia, not hypophosphatemia. The body can become toxic from excessive vitamin D and calcium with hyperphosphatemia.

Overview

Hypophosphatemia results when phosphorus is less than 3.0 in the blood. Symptoms that the client may experience would be chronic diarrhea, hyperventilation, and vomiting 4-5 times within 24 hours.

Explanation

Learning Outcomes

Hypophosphatemia results when phosphorus is less than 3.0 in the blood. Symptoms that the client may experience would be chronic diarrhea, hyperventilation, vomiting 4-5 times within a 24 hours, muscle weakness, fatigue, irritability, bone pain, and loss of appetite. Numbness and tingling and excessive use of vitamin D are symptoms of hyperphosphatemia.

Test Taking Tip

Listen attentively to instructions given by the teacher. Plan to use the entire time allotted for the test. Avoid distractions from others in the room.

Video Rationale