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.
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Related Questions
Correct Answer is B
Explanation
A. The nurse should not withhold the dose without consulting the provider, especially with a low potassium level.
B. A client who is receiving diuretic therapy may lose potassium through urine and develop hypokalemia, which is a low level of potassium in the blood. Hypokalemia can cause cardiac arrhythmias, muscle weakness, and fatigue. The normal range of serum potassium is 3.5 to 5.0 mEq/L. A serum potassium level of 3.2 mEq/L indicates mild hypokalemia and requires potassium supplementation
C. While it's important to verify lab results, the nurse should first administer the prescribed dose of KCL since the patient has mild hypokalemia.
D. This is important but it may delay the treatment of hypokalemia and increase the risk of complications.
Correct Answer is C
Explanation
A. Hyperactive bowel sounds are not typically associated with elevated calcium levels.
B. Hyperactive deep tendon reflexes are a potential sign of hypercalcemia, but cardiac manifestations are more critical.
C. Prolonged ST segments on cardiac monitoring can be indicative of hypercalcemia and may lead to cardiac arrhythmias.
D. Lethargy is a general symptom and may not be specific to hypercalcemia. Cardiac manifestations are a more immediate concern.
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