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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Understands that everyone dies eventually: Preschoolers typically do not have a concrete understanding of the concept of death or the inevitability of death for everyone. Their understanding is usually very limited and concrete, so this would not be consistent with their developmental stage.
B. Recognizes the parent will never wake up: Preschoolers may have difficulty understanding the permanence of death. They might think that the deceased parent will wake up eventually or return, as their grasp on the concept of permanence is not fully developed.
C. Expresses curiosity about the funeral service: While preschoolers may be curious about many things, including new experiences, their understanding of a funeral and its significance may be limited. They might not fully grasp the meaning behind the service but may ask questions out of curiosity.
D. Believes death is punishment for bad behavior: Preschoolers often think in magical or egocentric ways and may believe that death is a punishment for something they or others did wrong. This belief reflects their developmental stage, where they may not understand the abstract concept of death and may interpret it in relation to their own actions or behaviors.
Correct Answer is B
Explanation
Informed consent is a crucial aspect of the patient's rights and autonomy in healthcare. It involves the voluntary and knowledgeable agreement of a competent individual to undergo a specific medical intervention or procedure. The provider is responsible for explaining the procedure, its potential risks and benefits, alternative options, and any potential complications to the patient. Once the patient has received this information and has had an opportunity to ask questions, they can provide their consent by signing the informed consent form.
"We can accept verbal consent unless the surgical procedure is an emergency." Verbal consent is generally not sufficient for most non-emergency surgical procedures. Informed consent typically requires a written documentation, signed by the patient or their legally authorized representative, to ensure clarity, accountability, and legal protection.
"We require informed consent for all routine treatments." Informed consent is typically required for invasive procedures, surgeries, and treatments with potential risks. Routine treatments that are considered low risk and part of standard care may not require explicit informed consent.
However, it is still important for healthcare providers to inform and involve patients in their care decisions.
"A family member must witness your signature on the informed consent form." While it is often beneficial to have a witness to the patient's informed consent, it does not necessarily have to be a family member. The witness can be any competent individual who can attest to the patient's signing of the form and their understanding of the procedure.
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