Which of the following is a potential complication for a client whose potassium level is 6.5 mEq/L?

Decreased urine output

Ascending muscle paralysis

Hypoglycemia

Ascites

Answer and Explanation

The Correct Answer is B

A. Decreased urine output is not directly associated with elevated potassium levels. It is more commonly linked to renal failure or dehydration.
B. Hyperkalemia (high potassium levels) can lead to ascending muscle paralysis due to its effects on the neuromuscular system. Potassium is critical for proper muscle function, and elevated levels can disrupt the electrical impulses needed for muscle contraction, potentially causing paralysis.
C. Hypoglycemia is unrelated to elevated potassium levels. It is more often associated with insulin use, inadequate food intake, or certain medical conditions.
D. Ascites is fluid accumulation in the abdomen, usually caused by liver disease or heart failure, and is not a direct complication of hyperkalemia.

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Correct Answer is D

Explanation

A. Administering furosemide (a diuretic) would worsen dehydration and is contraindicated in this scenario. The goal is to rehydrate the client, not to promote fluid loss.
B. Educating the client that oral fluids are not necessary is incorrect. Oral fluids are important for rehydration, and the client should be encouraged to drink fluids unless contraindicated.
C. Monitoring the client's weight once a week is not sufficient for assessing dehydration status. More frequent monitoring is needed to assess the effectiveness of treatment.
D. Monitoring the client's IV site and infusion is essential to ensure that the IV is patent, the fluid is being infused properly, and there are no complications such as infiltration or infection. This is a key aspect of nursing care for clients receiving IV fluids.

A. Skip lesions and cobblestone appearance B. Risk for bowel perforation and toxic megacolon C. Diarrhea, possibly containing blood D. Increased risk for colorectal cancer

Correct Answer is A

Explanation

A. Skip lesions and a cobblestone appearance are characteristic of Crohn's disease, not ulcerative colitis (UC). UC involves continuous inflammation of the colon, without skip lesions.
B. Ulcerative colitis is associated with a risk for bowel perforation and toxic megacolon, which are serious complications of the disease.
C. Diarrhea containing blood is a common symptom of ulcerative colitis, as it primarily affects the colon and rectum, leading to inflammation and ulceration.
D. Increased risk for colorectal cancer is a known complication of ulcerative colitis, especially with long-term disease duration.

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Which of the following is a potential complication for a client whose potassium level is 6.5 mEq/L?

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Naxlex Comprehensive Predictor Exams

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