A nurse is collecting data from a client who is in renal failure. The nurse should identify which of the following findings is a manifestation of hyperkalemia.

Dry mucous membranes

Irregular heart rate

Hyperactive reflexes

Trousseau's sign

Answer and Explanation

The Correct Answer is B

A.   Incorrect. Dry mucous membranes are not typically associated with hyperkalemia.
B.   Correct. Hyperkalemia can lead to cardiac dysrhythmias, including irregular heart rate.
C.   Incorrect. Hyperactive reflexes are more commonly associated with hypokalemia (low potassium levels.
D.   Incorrect. Trousseau's sign is a clinical indicator of hypocalcemia, not hyperkalemia.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Incorrect. The Patient Health questionnaire is used to assess depression severity.
B. Incorrect. The Mental Status Examination assesses cognitive function and psychiatric symptoms.
C. Incorrect. The Brief Psychiatric Rating Scale assesses psychiatric symptoms but not specifically tardive dyskinesia.
D. Correct. The Abnormal Involuntary Movement Scale (AIMS. is specifically designed to screen for and assess the severity of tardive dyskinesia, which is a movement disorder associated with antipsychotic medications.

A. Tonic-clonic seizures B. Paresthesias C. Disorientation D. Sleep apnea

Correct Answer is C

Explanation

A. Tonicclonic seizures might be part of the electroconvulsive therapy procedure itself, but they would typically occur during the treatment, not 15 minutes after.
B. Paresthesias (tingling or numbness. are not a common expected finding following electroconvulsive therapy?
C. Correct. Disorientation is a common side effect after electroconvulsive therapy and usually resolves over time.
D. Sleep apnea is not an expected finding following electroconvulsive therapy.

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A nurse is collecting data from a client who is in renal failure. The nurse should identify which of the following findings is a manifestation of hyperkalemia.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia and is taking an antipsychotic medication. Which of the following screening tools should the nurse use to identify tardive dyskinesia?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 minutes following the procedure?

Correct Answer is C

Explanation

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