A client is admitted with dehydration and hypokalemia.
Which of the following signs and symptoms would the nurse expect to find (Select all that apply).
Muscle weakness.
Constipation.
Hyperreflexia.
Cardiac dysrhythmias.
Nausea and vomiting.
Correct Answer : A,B,D
These are all signs and symptoms of hypokalemia, which is a condition where the blood potassium level is too low. This can affect the function of the muscles, nerves, and heart. Therefore, the nurse would expect to find these signs and symptoms in a client with dehydration and hypokalemia.
Choice C is wrong because hyperreflexia is not a sign or symptom of hypokalemia.
Hyperreflexia is a condition where the reflexes are exaggerated or overactive.
This can be caused by conditions such as spinal cord injury, stroke, or electrolyte imbalances such as hypocalcemia or hypomagnesemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
An isotonic solution has the same concentration of solutes as the blood plasma. 0.9% sodium chloride solution is an example of an isotonic solution.
It is used to supply water and salt to the body and to prevent hypotension induced by spinal anaesthesia.
Choice A is wrong because a hypotonic solution has a lower concentration of solutes than the blood plasma.
It can cause water to move into the cells and cause them to swell.
Choice C is wrong because a hypertonic solution has a higher concentration of solutes than the blood plasma.
It can cause water to move out of the cells and cause them to shrink.
Choice D is wrong because a colloid solution contains large molecules that do not pass through the capillary walls.
It is used to increase the blood volume and pressure in cases of shock or severe blood loss.
Correct Answer is A
Explanation
Increased urine output is a sign of adequate hydration, as it means the kidneys are filtering waste and fluids from the body through the urine. The urine should be pale straw or lemonade colored, which indicates good hydration.
Choice B is wrong because decreased urine output is a sign of dehydration, as it means the kidneys are not working well and waste products are accumulating in the blood.
The urine may be dark and strong smelling, which indicates poor hydration.
Choice C is wrong because dry mucous membranes are a sign of dehydration, as they indicate a lack of fluid in the body tissues.
Choice D is wrong because hypertension is not a direct indicator of hydration status, although dehydration can cause low BP due to reduced blood volume.
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