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 B
Explanation
A. Peripheral edema is more associated with hypervolemia, not hypovolemia.
B. Oliguria (decreased urine output) is a common finding in hypovolemia due to decreased blood volume and reduced renal perfusion.
C. Hypertension is not typically associated with hypovolemia; hypotension is more common.
D. Bradycardia is not a typical finding in hypovolemia; tachycardia is more likely as a compensatory response to maintain cardiac output.
Correct Answer is ["B","D","E"]
Explanation
A. Urine-specific gravity greater than 1.030 is indicative of concentrated urine and is more associated with dehydration, not fluid volume excess.
B. Pitting edema is a classic sign of fluid volume excess, indicating an accumulation of fluid in the interstitial spaces.
C. Swelling at the IV site may be related to local inflammation or extravasation of fluids but is not specific to fluid volume excess.
D. Crackles upon auscultation suggest fluid accumulation in the lungs, which is a common finding in fluid volume excess.
E. A bounding pulse is often associated with increased stroke volume and can be a sign of fluid volume excess.
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