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can someone call me to Create one multiple choice NCLEX style question, including answers and rationales for each...

can someone call me to Create one multiple choice NCLEX style question, including answers and rationales for each of following Fluid and Electrolytes topics:
a. Hyperkalemia.
b. Hypokalemia.
c. Hypocalcemia.
d. Hypercalcemia.
e. Hyponatremia.

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Answer #1

a, Hyperkalemia
Which of the following is a symptom of hyperkalemia?
a, bradycardia
b, Paralysis
c, Positive chvostek sign
d, Breathing difficulty
Ans; b, Paralysis
Positive chvostek sign, breathing difficulty, bradycardia can be seen in the hypokalemia. Paralysis and heart failure occur due when hyperkalemia untreated that heart to stop its action.

b, Hypokalemia
Which of the following EKG changes can be seen in hypokalemia?
a, ST depression and inverted T-wave
b, Tall and Peaked T waves
c, Prolonged PR interval
d, wide QRS complexes, and tall T waves
ans: a, ST depression and inverted T-wave
when serum potassium increases there is a tall t wave, prolonged PR interval and widened QRS complex and tall T waves present in the EKG. when serum potassium decrease in the blood there sill be ST depression and inverted T wave present.

c, Hypocalcemia
which of the following can cause parkinsonism?
a, Kidney failure
b, Hypocalcemia
c, Osteoporosis
d, arrhythmias
ans: b, Hypocalcemia
Parkinsonism happens when low serum calcium in the blood that causes neurologic complications. when there is high serum calcium in the blood it causes osteoporosis, arrhythmias, and kidney failure.

D. Hypercalcemia
which of the following is not cause hypercalcemia?
a, Pancreatitis
b, Hereditary factor
c, Cancer
d, severe dehydration
ans: a, Pancreatitis
Pancreatitis occurs when there is less calcium in the blood that causes less PTH secretion. Hereditary factors, cancer, severe dehydration cause hypercalcemia.

e, Hyponatremia
which of the following blood value indicate hyponatremia?
a, 180mEq/L
b, 166mEq/L
c, 149mEq/L
d,105mEq/l
Ans: d, 105mEq/L
The normal range of serum sodium level is 135 to 145mEq/L. when it falls below 135mEq/L it considered hyponatremia. other values indicate hypernatremia.

C,

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