Concept Map: Lab Review

Instructions: Select the letter if the nursing action is taken when the electrolyte level is high or low

Sodium: 136 – 145 mEq/L Potassium: 3.5 – 5.0 mEq/L

a) Report lab values to HCP a) Encourage foods high in potassium

HIGH

HIGH
b) Administer hypotonic fluids b) Provide oral potassium supplements a a
a a c) Monitor for restlessness, irritability,
c) Administer hypertonic fluids b b
d) Encourage sodium intake b b weakness
d) Provide a potassium-restricted diet
c c
e) Administer diuretics c c
e) Administer IV fluids with dextrose d d
f) Implement seizure d d
precautions and regular insulin e e
e e f) Observe for shallow ineffective f f
f f

LOW

LOW
respirations g g
g) Monitor for oliguria

Magnesium: 1.3 – 2.1 mg/dL Total Calcium: 9.0 – 10.5 mg/dL

a) Monitor for soft tissue a) Monitor for bone pain
HIGH

HIGH
calcifications b) Monitor for constipation
b) Monitor for facial flushing a a a a
c) Administer 0.9% sodium chloride
c) Administer oral or IV b b d) Administer oral or IV calcium b b
Magnesium c c supplements c c
d) Encourage foods high in d d e) Adequate fiber in the diet is d d
Magnesium encouraged
e e e e
e) Discontinue loop diuretics f) Encourage green leafy vegetables
f f f f
LOW

LOW
f) Administer loop diuretics

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 Concept Map: Lab Review
Instructions: Select the letter if the nursing action is taken when the electrolyte level is high or low

Sodium: 136 – 145 mEq/L Potassium: 3.5 – 5.0 mEq/L

a) Report lab values to HCP a) Encourage foods high in potassium

HIGH

HIGH
b) Administer hypotonic fluids b) Provide oral potassium supplements a a
 a  a c) Monitor for restlessness, irritability,
c) Administer hypertonic fluids b  b
d) Encourage sodium intake  b b weakness
d) Provide a potassium-restricted diet  c  c
e) Administer diuretics c  c
e) Administer IV fluids with dextrose d d
f) Implement seizure d d
precautions and regular insulin e e
e e f) Observe for shallow ineffective f f
f f

LOW

LOW
respirations
g g
g) Monitor for oliguria

Magnesium: 1.3 – 2.1 mg/dL Total Calcium: 9.0 – 10.5 mg/dl

a) Monitor for soft tissue a) Monitor for bone pain
HIGH

HIGH
calcifications b) Monitor for constipation
b) Monitor for facial flushing  a a  a a
c) Administer 0.9% sodium chloride
c) Administer oral or IV  b b d) Administer oral or IV calcium  b b
Magnesium c  c supplements  c c
d) Encourage foods high in d  d e) Adequate fiber in the diet is d d
Magnesium encouraged
e  e e e
e) Discontinue loop diuretics f) Encourage green leafy vegetables
f f f f
LOW

LOW
f) Administer loop diuretics

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