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 correct answer is choice D. Provide regular oral care for the client with a moist swab. When a client with a terminal illness and in the active phase of dying refuses further hydration and nourishment, the nurse should provide comfort measures such as regular oral care to prevent discomfort. The nurse should not force the client to eat or drink or request a prescription for IV fluids. The healthcare surrogate cannot be asked for permission to withhold nourishment as the client has the right to refuse nourishment.
Option A - The client has the right to refuse nourishment, and healthcare surrogate permission is not required.
Option B - Requesting a prescription for IV fluids is not an appropriate intervention as the client has the right to refuse nourishment.
Option C - Explaining the importance of oral hydration to the client is not an appropriate intervention as the client has the right to refuse nourishment.
Correct Answer is C
Explanation
Oranges contain high levels of ascorbic acid, which can increase the absorption of ferrous sulfate. Baked potatoes, oatmeal, and cheese are not high in ascorbic acid and are not recommended to increase the absorption of ferrous sulfate.
Choice A, baked potatoes, is not the correct answer because it is not high in ascorbic acid.
Choice B, oatmeal, is not the correct answer because it is not high in ascorbic acid. Choice D, cheese, is not the correct answer because it is not high in ascorbic acid.
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