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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Correct Answer is A

Explanation

A. Correct. Memory loss that disrupts ADLs is a characteristic feature of dementia.
B. Acute onset of confusion might be related to delirium rather than dementia.
C. Catatonia is not a typical finding in dementia.
D. Illusions are not commonly associated with dementia.

A. Insomnia B. Diarrhea C. Weight loss D. Diaphoresis

Correct Answer is A

Explanation

A. Correct. Insomnia, or difficulty falling asleep or staying asleep, is a common manifestation of nicotine withdrawal.
B. Diarrhea is not a typical manifestation of nicotine withdrawal.
C. Weight gain, not weight loss, is more commonly associated with nicotine withdrawal.
D. Diaphoresis (excessive sweating. can be associated with nicotine withdrawal, but insomnia is a more direct withdrawal symptom.

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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

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Explanation

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Correct Answer is A

Explanation

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