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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Bilateral flank pain is more indicative of a possible renal issue, not an allergic transfusion reaction.
B. Elevated blood pressure is not a typical sign of an allergic transfusion reaction.
C. Generalized urticaria (hives) is a classic manifestation of an allergic transfusion reaction.
D. Distended jugular veins are not typically associated with an allergic transfusion reaction.

A. Research how to remove an IV catheter from the internet. B. Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter. C. Review the facility's policies and procedures manual about removing IV catheters. D. Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters.

Correct Answer is C

Explanation

A. While researching information is valuable, using the facility's policies and procedures is the best source for specific, evidence-based guidelines.
B. An AP may not be qualified to provide accurate information on removing an IV catheter.
C. The facility's policies and procedures manual is a reliable source of evidence-based guidelines for nursing care.
D. While journal articles can provide information, the facility's policies and procedures manual is often more immediately relevant and specific.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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