A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings show the nurse expect?

Hyperactive reflexes

Extreme thirst

Weak, irregular pulse

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is A

Nursing Test Bank

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Correct Answer is ["B","E"]

Explanation

Correct Actions:

B. Test the pH of gastric aspirate.

Explanation: Testing the pH of gastric aspirate helps confirm that the NG tube is correctly positioned in the stomach. A pH of 4 or less generally indicates gastric placement. This step is crucial to avoid complications like aspiration and ensure proper feeding.

E. Check the tube's placement and patency.

Explanation: Ensuring that the tube is correctly positioned and patent (not blocked) is essential before administering feedings. This involves aspirating some of the gastric contents to confirm placement and flushing the tube with water to verify it is clear and functioning properly.

Incorrect Actions:

A. Discard residual gastric contents.

Explanation: While it is important to measure gastric residuals to assess the stomach's ability to handle the feeding, residuals are not discarded. Instead, they are measured and then returned to the stomach unless otherwise specified by the healthcare provider.

C. Auscultate sounds.

Explanation: Auscultation of bowel sounds is not typically required immediately before administering enteral feedings. However, assessing bowel sounds periodically can be part of overall monitoring to ensure proper gastrointestinal function.

D. Warm the formula to body temperature.

Explanation: Enteral feeding formulas are generally administered at room temperature, although some facilities may have specific protocols for warming. Most guidelines do not require warming formula to body temperature.

A. Increasing exercise B. Tamsulosin use and adverse effects C. Urinary tract infection manifestations D. A diet low in calcium oxalate E. Signs of worsening BPH F. Lifestyle modifications for managing symptoms

Correct Answer is ["B","C","E","F"]

Explanation

B. Tamsulosin use and adverse effects

Rationale: Tamsulosin is an alpha-1 blocker commonly prescribed to alleviate BPH symptoms. Education should include how to take the medication, its purpose, and potential side effects, such as dizziness, headache, or orthostatic hypotension.

C. Urinary tract infection manifestations

Rationale: BPH can increase the risk of urinary tract infections (UTIs) due to urinary retention. The client should be aware of symptoms like burning during urination, frequent urination, or cloudy urine to seek timely medical attention.

E. Signs of worsening BPH

Rationale: It's essential for clients to recognize signs that their BPH is worsening, such as severe urinary retention, acute urinary obstruction, or significant changes in urinary patterns. This helps in early intervention and prevents complications.

F. Lifestyle modifications for managing symptoms

Rationale: Clients should be educated on lifestyle changes that can help manage BPH symptoms, such as avoiding caffeine and alcohol, reducing fluid intake before bedtime, and practicing pelvic floor exercises.

Note:

A. Increasing exercise

Rationale: While exercise is beneficial for overall health, it is not specifically targeted for managing BPH symptoms. It can be part of a healthy lifestyle but isn't a primary focus of BPH-specific education.

D. A diet low in calcium oxalate

Rationale: A diet low in calcium oxalate is typically recommended for individuals with kidney stones, not specifically for BPH management.

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A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings show the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","E"]

Explanation

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Correct Answer is ["B","C","E","F"]

Explanation

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