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.
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Related Questions
Correct Answer is B
Explanation
A. Incorrect. This may come across as confrontational and defensive.
B. Correct. This response opens communication and shows respect for the client's concerns.
C. Incorrect. This response could be perceived as manipulative and unhelpful.
D. Incorrect. This response may create fear and resistance rather than addressing the client's concerns.
Correct Answer is D
No explanation
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