A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8 mEq/L. Which of the following interventions should the nurse implement first?

Administer an IV potassium drip.

Check the client's hand grasps.

Listen to the client's bowel sounds.

Initiate cardiac monitoring for the client.

Answer and Explanation

The Correct Answer is D

Choice A rationale: Administering an IV potassium drip is important, but assessing cardiac status takes precedence.
Choice B rationale: Checking the client's hand grasps is relevant but does not address the potential cardiac complications associated with hypokalemia.
Choice C rationale: Listening to the client's bowel sounds is not the priority when addressing hypokalemia-related cardiac concerns.
Choice D rationale: Initiating cardiac monitoring is the priority in a client with a low potassium level, as hypokalemia can lead to cardiac dysrhythmias.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale: Placing a large-face clock in the client's bedroom helps the individual with Alzheimer's disease maintain orientation to time, promoting a sense of familiarity and reducing confusion.
Choice B rationale: While a monthly calendar could be helpful, a large-face clock is a more direct and immediate way to help the client understand the current time and reduce disorientation.
Choice C rationale: Covering electrical outlets is important for safety but may not directly address the client's cognitive needs associated with Alzheimer's disease.
Choice D rationale: Keeping the client's bedroom dark at night might contribute to increased confusion and disorientation for someone with Alzheimer's disease.

A. "You are upset. We can talk about this later." B. "Why do you think your life is over?" C. "Most people can adjust following this surgery." D. “Would you like to meet with another client who is an amputee?"

Correct Answer is B

Explanation

Choice A rationale: While acknowledging the client's upset feelings is important, postponing the conversation may not address the immediate emotional needs of the client.
Choice B rationale: Asking the client "Why do you think your life is over?" encourages the client to express their feelings and concerns, facilitating open communication and understanding.
Choice C rationale: While stating that most people can adjust following the surgery is true, it may minimize the client's feelings and not address the individual's unique emotional experience.
Choice D rationale: Offering to connect the client with another amputee may be helpful, but it does not directly address the client's expressed feelings of despair.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8 mEq/L. Which of the following interventions should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client following a below-the-knee amputation. The client states, "My life is over." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who arrives at the emergency department and reports vomiting and diarrhea for the past 3 days. The client's serum potassium level is 2.8 mEq/L. Which of the following interventions should the nurse implement first?

A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?

A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?

A nurse is reviewing laboratory results for four clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the surgeon?.

A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of care?