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. The low pH (below the normal range of 7.35-7.45) indicates acidosis. The elevated PaCO2 (above the normal range of 35-45 mm Hg) suggests respiratory involvement, indicating respiratory acidosis.
B. Metabolic acidosis is characterized by a low pH and low HCO3, not an elevated PaCO2.
C. Respiratory alkalosis is characterized by a high pH and low PaCO2.
D. Metabolic alkalosis is characterized by a high pH and high HCO3.
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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