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A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client’s potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client’s hypokalemia?

Hypoglycemia

Hyperreflexia

Cardiac dysrhythmias

Increased appetite

Answer and Explanation

The Correct Answer is C

a. Hypoglycemia: Hypokalemia is not typically associated with hypoglycemia.

b. Hyperreflexia: Hypokalemia can lead to decreased reflexes, not hyperreflexia.

c. Cardiac dysrhythmias: Hypokalemia can cause disturbances in cardiac conduction, potentially leading to dysrhythmias.

d. Increased appetite: Increased appetite is not a common manifestation of hypokalemia.

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Correct Answer is B

Explanation

a. Rest in a supine position: Resting in a supine position may compromise lung expansion, and an upright position is often recommended for clients with emphysema to improve ventilation.

b. Breathe in through her nose and out through pursed lips: This technique helps maintain

positive airway pressure, preventing premature airway collapse, and can improve gas exchange in clients with emphysema.

c. Limit fluid intake throughout the day: Adequate hydration is important for maintaining

respiratory secretions in a liquefied state and is generally encouraged for clients with respiratory conditions.

d. Consume a low-protein diet: A low-protein diet is not specifically indicated for improving gas exchange in clients with emphysema. Nutrition recommendations may focus on a well-balanced diet to support overall health.

A. Apply a warm cloth over the client's eyes. B. Place the client in a supine position. C. Maintain seizure precautions. D. Obtain a prescription for an opioid medication for pain.

Correct Answer is C

Explanation

a. Apply a warm cloth over the client's eyes: This intervention is not typically indicated for a client who had a craniotomy. It is important to monitor for signs of increased intracranial pressure, but a warm cloth over the eyes is not a standard intervention.

b. Place the client in a supine position: The position of the client after a craniotomy will depend on the surgeon's preference. It is important to follow specific postoperative positioning

instructions, which may or may not include supine positioning.

c. Maintain seizure precautions: Seizure precautions are crucial for clients who have had a craniotomy, as they are at an increased risk of seizures postoperatively.

d. Obtain a prescription for an opioid medication for pain: Pain management is important, but opioid medications may be carefully titrated due to the potential for respiratory depression and other side effects. It is not the primary intervention in the immediate postoperative period.

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A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client’s potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client’s hypokalemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in theteaching?

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a client who had a craniotomy. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

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A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client’s potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client’s hypokalemia?

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