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 A

Explanation

A. Antihypertensive medication is not a priority intervention for a client with a blood glucose level of 620 mg/dL, which indicates hyperglycemia, likely due to diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS). The focus should be on correcting the hyperglycemia and preventing complications like dehydration or electrolyte imbalances.
B. Fluid replacement is essential to treat dehydration caused by hyperglycemia, as high blood glucose levels cause osmotic diuresis.
C. Potassium laboratory monitoring is crucial because insulin treatment can shift potassium into cells, potentially causing hypokalemia, so monitoring is necessary during treatment.
D. Insulin IV infusion is necessary to lower the blood glucose level in clients with severe hyperglycemia, such as in DKA or HHS.

A. “I should avoid being outside in crowds while on these medications.” B. “It may take several weeks for me to feel the effects of the medications.” C. “I should notify my provider if I experience fevers.” D. “I should go to the emergency room immediately if my urine turns orange.”

Correct Answer is D

Explanation

A. Avoiding crowds is appropriate, as both Sulfasalazine and Azathioprine can suppress the immune system, increasing the risk of infection.
B. It is correct that it may take several weeks for these medications to show effects, especially with Sulfasalazine. This is a reasonable statement.
C. Notifying the provider if the client experiences fevers is important because it could be a sign of infection, which is a potential side effect of Azathioprine, an immunosuppressive drug.
D. Orange urine is a common side effect of Sulfasalazine and is harmless. The client should not go to the emergency room for this symptom, as it is a known and expected side effect. Therefore, the statement about going to the emergency room indicates a need for further teaching.

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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

The nurse is caring for a client with a blood glucose reading of 620 mg/dL. The nurse would expect all of the following interventions except which?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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