Client is admitted following cerebrovascular accident (CVA). Client is alert and oriented. Heart rate regular. Respirations rapid and non-labored. Wheezing auscultated in upper lobes of the lungs. Client is receiving 2 U/min of oxygen via nasal cannula. Right upper and lower extremities flaccid with decreased muscle tone and strength.

Client sitting up in a chair for lunch. Client states they are right-handed and are having difficulty feeding themselves.

For which of the following interprofessional team members should the nurse anticipate a provider's referral?

Select all that apply.

Case manager

Respiratory therapist

Diabetes nurse educator

Physical therapist

Occupational therapist

Answer and Explanation

Correct Answer : D,E

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Correct Answer is B

Explanation

Hypokalemia refers to low levels of potassium in the blood. Potassium is an essential electrolyte that plays a crucial role in nerve and muscle cell functioning. When potassium levels are low, it can lead to muscle weakness or even muscle cramps.

Hypertension (high blood pressure) is not commonly associated with hypokalemia. In fact, hypokalemia can sometimes cause low blood pressure (hypotension).

Hyperactive bowel sounds are more commonly associated with conditions such as diarrhea, gastroenteritis, or bowel obstruction. While diarrhea can contribute to electrolyte imbalances, it is not a specific manifestation of hypokalemia.

Cerebral edema refers to swelling in the brain and is not typically associated with hypokalemia. Hypokalemia is more likely to affect muscle and nerve function rather than cerebral edema.

Correct Answer is ["56"]

Explanation

To calculate the infusion rate in gtt/min, we need to know the total number of drops (gtt) needed

for the entire infusion and the time it takes to complete the infusion. Given:

Ringer's lactate: 500 mL
Infusion time: 3 hours

Drop factor: 20 gtt/mL

First, let's calculate the total number of drops needed for the entire infusion: Total drops = Volume (mL) × Drop factor (gtt/mL)

Total drops = 500 mL × 20 gtt/mL Total drops = 10,000 gtt

Next, we need to determine the infusion rate in gtt/min. Since the infusion time is given in hours, we need to convert it to minutes:

Infusion time (min) = Infusion time (hours) × 60 min/hour Infusion time (min) = 3 hours × 60 min/hour

Infusion time (min) = 180 min

Now, we can calculate the infusion rate in gtt/min:

Infusion rate (gtt/min) = Total drops / Infusion time (min) Infusion rate (gtt/min) = 10,000 gtt / 180 min

Infusion rate (gtt/min) ≈ 55.6 gtt/min (Rounded off- 56 gtt/min)

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Correct Answer is B

Explanation

Correct Answer is ["56"]

Explanation

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

A nurse is instructing a group of clients regarding calcium rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?

A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

A nurse is providing teaching to a group of adult athletes about prevention of the effects of dehydration on the body. Which of the following manifestations should the nurse include in the teaching?

A nurse is preparing to administer 2 units of packed RBCs to an older adult client. Which of the following actions should the nurse take?

A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?

A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?

A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take?