A nurse is caring for a patient who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Hyperactive bowel sounds
Decreased deep tendon reflexes
Cerebral edema
Weakening
The Correct Answer is B
Choice A reason: Hyperactive bowel sounds are not typically associated with hyperkalemia, which is a high level of potassium in the blood.
Choice B reason: Decreased deep tendon reflexes can be a sign of hyperkalemia, as high potassium levels can affect neuromuscular function.
Choice C reason: Cerebral edema is not a direct manifestation of hyperkalemia; it is more commonly associated with other conditions such as traumatic brain injury or stroke.
Choice D reason: Weakening, or muscle weakness, can be a symptom of hyperkalemia, but it is less specific than decreased deep tendon reflexes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Elevating the patient in a high Fowler's position can help improve lung expansion and oxygenation, and using an incentive spirometer along with coughing can help prevent atelectasis and pneumonia, which are common postoperative complications.
Choice B reason: Increasing oxygen to 70% without a specific indication could lead to oxygen toxicity, especially without assessing the patient's current oxygenation status.
Choice C reason: Switching to a rebreather mask is not indicated based on the given ABG results and could lead to CO2 retention.
Choice D reason: Positioning the patient prone and performing postural drainage are not typically first-line interventions for a patient one day post-thoracotomy and could be contraindicated due to the recent surgery.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Trousseau's sign is indicative of hypocalcemia and is elicited by inflating a blood pressure cuff on the arm.
Choice B reason: Carpopedal spasm is a muscular spasm involving the hands and feet that can occur with hypocalcemia.
Choice C reason: Chvostek's sign is a facial twitching that occurs when tapping on the facial nerve in front of the ear, which can be a sign of hypocalcemia.
Choice D reason: Korsakoff's psychosis is associated with chronic alcoholism and thiamine deficiency, not directly with hypocalcemia.
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