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 A
Explanation
A. Correct. Montelukast is typically given once daily in the evening to manage asthma symptoms.
B. Montelukast is not a replacement for inhaled steroids. The parent should not stop the medication without consulting the healthcare provider.
C. Montelukast is not used for acute wheezing; it is a maintenance medication and not for immediate relief.
D. Montelukast can start to show benefits within a few days of starting, not necessarily 2 months.
Correct Answer is A
Explanation
A. Correct. Pancre-lipase is an enzyme replacement therapy used in cystic fibrosis to improve digestion and absorption of fats. Reduction in fat in the stools indicates improved fat digestion.
B. Improved absorption of vitamins B and C might occur as a result of improved overall digestion, but it is not the primary therapeutic effect of pancre-lipase.
C. Improved respiratory function is not a direct effect of pancre-lipase.
D. Decreased sodium excretion is not a primary therapeutic effect of pancre-lipase.
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