A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is.2 mEq/L.
Which of the following assessment findings should the nurse expect?
Oliguria.
Hypertension.
Hyporeflexia.
Hyperactive bowel sounds.
The Correct Answer is C
A potassium level of.2 mEq/L is considered low.
Low potassium levels can cause muscle weakness and spasms.
Hyporeflexia refers to below normal or absent reflexes and can be a sign of muscle weakness.
Choice A is wrong because oliguria, or decreased urine output, is not a common symptom of low potassium levels.
Choice B is wrong because hypertension, or high blood pressure, is not a common symptom of low potassium levels.
Choice D is wrong because hyperactive bowel sounds are not a common symptom of low potassium levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A weight loss of 7% indicates that the infant is moderately dehydrated.
Dehydration is classified as mild (3-5% weight loss), moderate (6-10% weight loss), or severe (>10% weight loss)1.
Choice A is wrong because a respiratory rate of 28/min is within the normal range for an infant.
Choice B is wrong because a capillary refill time of 1 second is within the normal range.
Choice D is wrong because bradycardia (a slow heart rate) is not a typical sign of moderate dehydration in infants.
Correct Answer is B
Explanation
This is because oxygen saturation below 90% indicates that the infant is not getting enough oxygen and central cyanosis (bluish color of the skin due to lack of oxygen) is a sign of severe respiratory distress.
Both of these findings require immediate medical attention.
Choice A is wrong because cough or difficulty in breathing, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice C is wrong because severe respiratory distress (e.g grunting, very severe chest indrawing), while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice D is wrong because signs of pneumonia with a general danger, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
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