A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?
Hyperactive reflexes
Hyperactive bowel sounds
Weak, irregular pulse
Extreme thirst
The Correct Answer is C
A: Hypokalemia is associated with hypoactive reflexes, not hyperactive reflexes.
B: Hyperactive bowel sounds are more indicative of hyperkalemia, not hypokalemia.
C: Weak, irregular pulse is a common manifestation of hypokalemia and reflects the impact of potassium on cardiac function.
D: Extreme thirst is not a typical symptom of hypokalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. With a potassium level of 5.2 mEq/L, the client is not in need of additional potassium, and it is appropriate to notify the physician to discuss potential adjustments to the prescription.
B. Verifying the results with the lab may provide confirmation but does not address the need for action.
C. Omitting the KCL dose is appropriate in this situation as the client's potassium level is within the normal range.
D. Giving the ordered KCL as prescribed is not appropriate in this case, as the client's potassium level is already within the normal range.
Correct Answer is A
Explanation
A. Diarrhea can lead to significant fluid loss, causing dehydration.
B. Hypothermia is not a typical finding associated with diarrhea; instead, clients may experience fever or an elevated body temperature.
C. Diarrhea is more likely to be associated with increased bowel sounds rather than decreased bowel sounds.
D. A rigid abdomen is not a common finding in diarrhea; it may suggest more serious conditions such as peritonitis.
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