8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

ELECTROLYTE IMBALANCES: CALCIUM,

MAGNESIUM AND PHOSPHATES
Total points 9/10

SESSION 17

The respondent's email (mido.miralles.up@phinmaed.com) was recorded on submission of

this form.

0 of 0 points

STUDENT NAME (LAST NAME, FIRST NAME) *

MIRALLES, MICHELLE

CHECK FOR UNDERSTANDING 9 of 10 points

1. If your patient has hyperphosphatemia, he or she may also have the *1/1
secondary electrolyte disturbance:

A. hypermagnesemia.

B. hypocalcemia.

C. hypernatremia.

D. hyperkalemia.

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 1/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

2. For a patient with hyperphosphatemia and renal failure, avoid giving *0/1
the phosphate binding antacid:

A. aluminum hydroxide.

B. calcium carbonate.

C. calcium acetate.

D. magnesium oxide.

Correct answer

D. magnesium oxide.

3. Many of the signs and symptoms of hypophosphatemia are related to: * 1/1

A. low energy stores.

B. hypercalcemia.

C. extensive diuresis.

D. hypocalcemia.

4. If your patient is hypercalcemic, you would expect to: * 1/1

A. administer I.V. sodium bicarbonate.

B. administer vitamin D.

C. hydrate the patient.

D. administer digoxin.

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 2/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

5. Hypercalcemia would be most likely to develop in: * 1/1

A. a 60-year-old man who has squamous cell carcinoma of the lung.

B. an 80-year-old woman who has heart failure and is taking furosemide (Lasix).

C. a 25-year-old trauma patient who has received massive blood transfusions.

D. a 40-year-old man with hypoalbuminemia.

6. You’re told during shift report that your patient has a positive *1/1
Chvostek’s sign. You would expect his laboratory test results to reveal:

A. a total serum calcium level below 8.9 mg/dl.

B. a total serum calcium level above 10.1 mg/dl.

C. an ionized calcium level above 5.3 mg/dl.

D. an ionized calcium level between 4.4 and 5.3 mg/dl.

7. Your patient with Crohn’s disease develops tremors while receiving *1/1
TPN. Suspecting she might have hypomagnesemia; you assess her
neuromuscular system. You should expect to see:

A. Homans’ sign.

B. elevated serum potassium.

C. hyperactive DTRs.

D. slowed heart rate

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 3/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

8. When teaching your patient with hypomagnesemia about a proper diet, *1/1
you should recommend that he consume plenty of:

A. seafood.

B. fruits.

C. corn products.

D. dairy products.

9. The doctor prescribes I.V. magnesium sulfate for your patient with *1/1
hypomagnesemia. Before giving the magnesium preparation, you review
the practitioner’s order to make sure it specifies the:

A. number of grams or milliliters to give.

B. number of ampules to give.

C. number of vials to give.

D. number of uses per vial.

10. Your patient is diagnosed with hypermagnesemia. To treat this *1/1

imbalance, the practitioner is likely to order:

A. magnesium citrate.

B. magnesium sulfate diluted in fluids.

C. potassium-sparing diuretics.

D. oral and I.V. fluids.

This form was created inside of Phinma Education.

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 4/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

 Forms

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 5/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 6/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 7/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 8/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5f… 9/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS… 10/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS5… 11/12
8/12/23, 7:18 AM ELECTROLYTE IMBALANCES: CALCIUM, MAGNESIUM AND PHOSPHATES

https://docs.google.com/forms/d/e/1FAIpQLSdgeFL82E2vmzY-HqI1kZuRGBAcBuhyH4c6o4IwM-5BxfK2_g/viewscore?viewscore=AE0zAgBErdU7KbaNQBS… 12/12