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","D","E"]
Explanation
A. Case manager may be involved in coordinating overall care, but based on the current assessment findings, there is a more immediate need for rehabilitation services.
B. A respiratory therapist can help manage the client's oxygen therapy and monitor their lung function.
C. Diabetes nurse educator is not directly relevant to the client's current condition as described.
D. The client's flaccid right upper and lower extremities with decreased muscle tone and strength indicate a need for rehabilitation and physical therapy.
E. The client's difficulty feeding themselves suggests a need for occupational therapy to address activities of daily living (ADLs) and improve independence.
F. Enterostomal therapy nurse is not indicated based on the information provided. The client's issues are primarily related to mobility and activities of daily living.
Correct Answer is C
Explanation
A. While using fresher blood is desirable, it is not always practical, and the primary consideration is the client's clinical condition.
B. An 18-gauge needle may be used for rapid infusion, but the size of the needle should be appropriate for the client's condition and the facility's policy.
C. Monitoring vital signs is essential during a blood transfusion to detect any potential adverse reactions promptly.
D. Administering blood units over a recommended time frame is important, but obtaining vital signs at regular intervals during the transfusion is a more immediate and continuous monitoring method.
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