Adult Health Exam 1-Fluid & Electrolyte Balance, Questions & Answers Fluid & Electrolyte Balance 1.You are caring for a patient admitted with a diagnosis of acute kidney injury. When you review your patients most recent laboratory reports, you note that the patients magnesium levels are high. You should prioritize assessment for which of the following health problems? B.Ta c h y c a r d i a C.Cool, clammy skin D. Acute flank pain Ans: A. To gauge a patients magnesium status, the nurse should check deep tendon reflexes. If the reflex is absent, this may indicate high serum magnesium. Tachycardia, flank pain, and cool, clammy skin are not typically associated with hypomagnesemia. 2.You are working on a burns unit and one of your acutely ill patients is exhibiting signs and symptoms of third spacing. Based on this change in status, you should expect the patient to exhibit signs and symptoms of what imbalance? A.Metabolic alkalosis B.Hypermagnesemia C. Hypercalcemia Ans: D. Third-spacing fluid shift, which occurs when fluid moves out of the intravascular space but not into the intracellular space, can cause hypovolemia. Increased calcium and magnesium levels are not indicators of third-spacing fluid shift. Burns typically cause acidosis, not