A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Wheezing
Decreased deep tendon reflexes
Cerebral edema
Hypoactive bowel sounds
The Correct Answer is B
A. Wheezing is not typically associated with hyperkalemia. It can be seen in conditions such as asthma or chronic obstructive pulmonary disease (COPD).
B. Hyperkalemia can lead to neuromuscular manifestations, including decreased deep tendon reflexes due to suppression of neuromuscular excitability.
C. Cerebral edema is not a typical manifestation of hyperkalemia. It may occur in conditions such as hyponatremia or severe metabolic acidosis.
D. Gastrointestinal manifestations of hyperkalemia are typically related to smooth muscle involvement and can include hyperactive bowel sounds or diarrhea.
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Related Questions
Correct Answer is B
Explanation
A. Confusion is not a typical finding in polycystic kidney disease.
B. Flank pain is a common symptom of polycystic kidney disease due to the enlargement of the kidneys from cyst formation.
C. Urinary retention is not typically associated with polycystic kidney disease.
D. Hypotension is not a typical finding in polycystic kidney disease unless there are complications such as renal failure.
Correct Answer is A
Explanation
A. Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to impaired renal function, leading to decreased potassium excretion.
B. Hypomagnesemia is not typically associated with the oliguric phase of acute kidney injury.
C. In the oliguric phase, the glomerular filtration rate is typically decreased, not increased.
D. In acute kidney injury, creatinine levels typically rise due to decreased renal function, rather than decrease.
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