A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia?

Diarrhea

Hypertensive crisis

Shallow respirations

Hyperreflexia

Answer and Explanation

The Correct Answer is C

A.   Hypokalemia causes constipation and not diarrhea.
B.   Hypertensive crisis is not typically associated with hypokalemia but may be a side effect of certain antihypertensive medications.
C.   Hypokalemia can affect the function of the muscles, including the respiratory muscles, leading to shallow respirations, weakness, and paralysis.
D.   Hyperreflexia is not a typical manifestation of hypokalemia; it is more associated with hyperkalemia.

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Correct Answer is C

Explanation

A. This is more related to psychological changes rather than physiological changes in older adults.
B. Bedwetting is not a typical physiological change in older adults. It is more commonly associated with children.
C. Older adult clients might experience changes in their appetite and metabolism that can lead to overeating and obesity. This can increase the risk of chronic diseases such as diabetes, hypertension, and cardiovascular problems.
D. While emotional changes may occur, the term "feelings" is too broad. Physiological changes are more specific to bodily functions.

A. Respiratory acidosis B. Metabolic acidosis C. Respiratory alkalosis D. Metabolic alkalosis

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.

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A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

Correct Answer is C

Explanation

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 48 mm Hg a the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

Correct Answer is A

Explanation

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A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia?