Among which is not a clinical finding of an overhydrated patient

skin pallor and cool-to-touch skin

pitting edema

Tachycardia with thready pulse

Lung sounds diminished with crackles upon auscultation.

Answer and Explanation

The Correct Answer is A

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Correct Answer is C

Explanation

A.Hypokalemia usually causes muscle weakness, decreased deep tendon reflexes, and cramps, not hyperreflexia.

B.While dehydration might be a consequence of vomiting and diarrhea, extreme thirst is not a typical symptom specifically related to hypokalemia. It's more associated with the body's response to fluid loss.

C.Potassium is essential for cardiac conduction. Hypokalemia can cause dysrhythmias, irregular pulse, and weak heart contractions due to decreased excitability of myocardial cells.

D.Hyperactive bowel sounds might be present in clients with gastrointestinal issues like diarrhea, but they are not directly caused by hypokalemia. They are more likely a consequence of the underlying gastrointestinal condition causing the electrolyte imbalance.

A. Request the providers to initiate antibiotic therapy for every client on the unit. B. Perform hand hygiene with an alcohol-based agent. C. Obtain stool cultures from all clients on the nursing unit. D. Place all clients who have manifestations on contact precautions.

Correct Answer is A

No explanation

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Among which is not a clinical finding of an overhydrated patient

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings show the nurse expect?

Correct Answer is C

Explanation

A nurse working on a medical-surgical unit suspects that several clients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

Correct Answer is A

A nurse is caring for a client with a new diagnosis of acute kidney injury. The client states, "This is going to mess my life up." Which of the following is the best response by the nurse to assist the client to begin to understand the impact of this disease?

A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of following actions indicates that the AP understands the principles of infection control?

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is the most at risk for developing acute glomerulonephritis?

A nurse is caring for four clients on a medical-surgical unit. Which of the following clients is at the highest risk for developing acute kidney injury?

A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

Among which is not a clinical finding of an overhydrated patient

A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?

A nurse is caring for a client admitted with acute glomerulonephritis. The client wants to know how this condition occurs. Which of the following best describes the pathological process of acute glomerulonephritis?