A nurse is assessing a client with profuse vomiting and diarrhea. Which finding is a manifestation of hypokalemia?
Hyperactive bowel sounds
muscle weakness
Increased thirst
Cerebral edema
The Correct Answer is B
A) Hyperactive bowel sounds:
Hyperactive bowel sounds are more commonly associated with conditions like diarrhea or gastrointestinal obstruction. Hypokalemia, or low potassium levels, typically affects muscle function rather than bowel activity directly.
B) Muscle weakness:
Muscle weakness is a key manifestation of hypokalemia. Potassium is crucial for muscle function, and a deficiency can lead to significant weakness and fatigue, which is a common symptom in individuals with low potassium levels.
C) Increased thirst:
Increased thirst is more commonly associated with dehydration or hypernatremia rather than hypokalemia. While hypokalemia can cause fluid imbalances, increased thirst is not a primary symptom of low potassium levels.
D) Cerebral edema:
Cerebral edema is not typically associated with hypokalemia. It is more commonly related to conditions such as head injury, infection, or other fluid and electrolyte imbalances. Hypokalemia primarily affects muscle function and heart rhythm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Cooked carrots: While cooked carrots do contain some potassium, they are not as rich in potassium as other foods. They are a good source of vitamins and nutrients, but not the most effective option for replenishing potassium levels.
B) Cheddar cheese: Cheese generally contains minimal potassium compared to other foods. It is a good source of calcium and protein, but it is not a significant source of potassium. Individuals on loop diuretics like furosemide, which can cause potassium loss, need to consume foods higher in potassium.
C) Baked potato: Baked potatoes are an excellent source of potassium. A medium-sized baked potato with the skin can provide a significant amount of potassium, which is essential for maintaining normal heart function and muscle contraction. This makes it an ideal food choice for clients on diuretics like furosemide, which can deplete potassium levels.
D) 2% milk: While milk contains potassium, it is not as high in potassium as other foods, like fruits and vegetables. Although it can contribute to daily potassium intake, it is not the most potent source for clients needing to increase their potassium levels due to diuretic use.
Correct Answer is C
Explanation
A) Discontinue cardiac monitoring during the infusion:
Discontinuing cardiac monitoring during the infusion of potassium chloride is unsafe. Potassium infusions can significantly impact cardiac function, so continuous cardiac monitoring is necessary to detect any arrhythmias or other complications.
B) Administer KCI as a rapid IV bolus:
Administering potassium chloride as a rapid IV bolus is contraindicated due to the risk of severe adverse effects, including cardiac arrest. Potassium should be infused slowly to avoid complications.
C) Only give the KCI via a central venous line:
Potassium chloride is ideally administered through a central venous line because it is irritating to veins and can cause damage if given through a peripheral line. A central line reduces the risk of irritation and allows for safer infusion of potassium.
D) Infuse the KCI at a rate of 10 mEq/hour:
Infusing potassium chloride at a rate of 10 mEq/hour is generally too slow for an emergency situation requiring immediate correction of severe hypokalemia. For more urgent cases, higher rates may be required, but only under strict medical supervision to avoid complications.
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