A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?

Serum potassium 4.8 mEq/L (3.5 to 5.0 mEq/L)

Serum sodium 138 mEq/L (136 to 145 mEq/L)

Calcium level of 10.0 mg/dL (9.0 to 10.5 mg/dL)

Serum glucose 58 mg/dL (74 to 106 mg/dL)

Answer and Explanation

The Correct Answer is D

A. Serum potassium 4.8 mEq/L (3.5 to 5.0 mEq/L): A normal potassium level suggests effective treatment of hyperkalemia.

B. Serum sodium 138 mEq/L (136 to 145 mEq/L): This is within the normal sodium range and unrelated to the adverse effects of insulin therapy.

C. Calcium level of 10.0 mg/dL (9.0 to 10.5 mg/dL): This is within the normal calcium range, unaffected by insulin therapy for hyperkalemia.

D. Serum glucose 58 mg/dL (74 to 106 mg/dL): Hypoglycemia is a potential adverse effect of insulin therapy because insulin drives glucose into cells, lowering blood sugar.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Palpitations: Palpitations are associated with hyperthyroidism, not hypothyroidism.

B. Diaphoresis: Excessive sweating (diaphoresis) is a symptom of hyperthyroidism.

C. Weight gain: Hypothyroidism slows the metabolic rate, leading to weight gain.

D. Protruding eyeballs: Protruding eyeballs (exophthalmos) are a sign of Graves' disease, associated with hyperthyroidism.

A. has no peak B. 4 to 14 hr C. 1 to 5 hr D. 30 min to 3 hr

Correct Answer is B

Explanation

A. Has no peak: NPH insulin has a distinct peak time, unlike long-acting insulins such as glargine or detemir, which have no peak.

B. 4 to 14 hr: NPH insulin is an intermediate-acting insulin with an onset of 1-2 hours, a peak between 4-14 hours, and a duration of 16-24 hours.

C. 1 to 5 hr: This timeframe describes the peak of short-acting insulins such as regular insulin.

D. 30 min to 3 hr: This timeframe describes the peak of rapid-acting insulins such as lispro, aspart, or glulisine.

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A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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