The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?
History of Addison's disease.
Has sustained tissue damage.
Uric acid level of 9.4 mg/dL.
Requires nasogastric suction.
The Correct Answer is D
The correct answer is choice D. Requires nasogastric suction.
Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body.
This can cause hypokalemia, which is a low level of potassium in the blood.
Choice A is wrong because Addison’s disease causes hyperkalemia, which is a high level of potassium in the blood.
Choice B is wrong because tissue damage can release potassium from the cells into the blood, causing hyperkalemia.
Choice C is wrong because uric acid level is not related to potassium level.
Uric acid is a waste product of purine metabolism that can cause gout or kidney stones if elevated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should recommend the pneumococcal vaccine to the client, as this is recommended for all adults over the age of 65 to prevent pneumococcal disease. Choice A is incorrect because the tuberculosis vaccine is not routinely given to adults in the United States. Choice B is incorrect because the HPV vaccine is recommended primarily for young adults to prevent HPV-related cancers. Choice C is incorrect because the MMR vaccine is recommended for children, and most adults have already received it. Choice A is not correct because the tuberculosis vaccine is not routinely given to adults in the United States.
Correct Answer is A
Explanation
Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that can cross-react with sulfa and should be avoided in clients with a sulfa allergy. Atorvastatin, prednisone, and digoxin do not contain sulfa and are safe for clients with a sulfa allergy.
Choice B: Atorvastatin does not contain sulfa and is safe for clients with a sulfa allergy.
Choice C: Prednisone does not contain sulfa and is safe for clients with a sulfa allergy.
Choice D: Digoxin does not contain sulfa and is safe for clients with a sulfa allergy.
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