A nurse in an urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia?
Pitting edema
Diplopia
Muscle weakness
Hyperactive bowel sounds
The Correct Answer is C
A nurse collecting data from a client who reports having diarrhea for the past 3 days should identify that muscle weakness is a symptom of hypokalemia. Hypokalemia is a condition in which the blood potassium level is low and can be caused by excessive fluid loss through diarrhea. Potassium helps regulate muscle contractions, so when blood potassium levels are low, muscles may produce weaker contractions which result in muscle weakness.
The other options are not typical symptoms of hypokalemia.
a) Pitting edema is not a typical symptom of hypokalemia.
b) Diplopia is not a typical symptom of hypokalemia.
d) Hyperactive bowel sounds are not a typical symptom of hypokalemia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Placenta previa is a condition where the placenta partially or completely covers the opening of the cervix. One of the hallmark signs of placenta previa is painless vaginal bleeding, typically bright red in color. This bleeding can occur spontaneously or during activities that put pressure on the uterus, such as sexual intercourse or physical exertion.
A rigid abdomen is not typically associated with placenta previa. It may indicate other conditions, such as peritonitis or abdominal muscle rigidity, but it is not a characteristic finding of placenta previa.
Persistent uterine contractions are not typically associated with placenta previa. Placenta previa is more commonly associated with painless bleeding rather than contractions. However, if placenta previa is complicated by other factors, such as placental abruption, contractions and abdominal pain may be present.
Fetal movement is not directly related to placenta previa. Fetal movement can vary from person to person and does not specifically indicate placenta previa. However, it is important for the nurse to assess fetal well-being in clients with placenta previa as bleeding can impact the oxygen supply to the fetus.
Correct Answer is C
Explanation
c. Ringing in the ears.
Explanation:
Cefazolin is an antibiotic medication that belongs to the class of cephalosporins. While it is generally safe and well-tolerated, it can have potential side effects that should be monitored and reported to the healthcare provider. One of the potential side effects of cefazolin is ototoxicity, which can manifest as ringing in the ears (tinnitus) or other hearing disturbances. If the adolescent experiences any ringing in the ears or changes in hearing while taking cefazolin, it should be reported to the healthcare provider for further evaluation.
Options a, b, and d are not specifically associated with the use of cefazolin. Constipation can occur due to various reasons unrelated to this medication. Elevated skin patches may be indicative of an allergic reaction or other skin condition but are not specific to cefazolin. Depression is not a common side effect of cefazolin and should be evaluated separately if experienced by the adolescent.
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