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. 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.

A. Irregular respirations B. Moist mucous membranes C. Hypertension D. Tachycardia

Correct Answer is A

Explanation

A. Irregular respirations, including Cheyne-Stokes breathing, are common at the end of life.
B. Moist mucous membranes may be a sign of hydration, but in the end-of-life phase, mucous membrane changes are possible, including dryness.
C. Hypertension is less likely in the end-of-life phase; blood pressure tends to decrease.
D. Tachycardia may or may not be present; it can vary depending on the individual's circumstances.

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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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