Which serum electrolyte value alerts the nurse to the possibility of hyperaldosteronism?

Serum sodium, 150 mmol/L; serum potassium, 2.5 mmol/L

Serum sodium, 140 mmol/L; serum potassium, 5.0 mmol/L

Serum sodium, 130 mmol/L; serum potassium, 7.5 mmol/L

Serum sodium, 130 mmol/L; serum potassium, 2.5 mmol/L

Answer and Explanation

The Correct Answer is A

A. Hyperaldosteronism causes sodium retention and potassium excretion, leading to elevated serum sodium levels and low potassium levels. A serum potassium level of 2.5 mmol/L is indicative of hypokalemia, which is a classic finding in hyperaldosteronism.
B. This serum electrolyte pattern (normal sodium and potassium) is not suggestive of hyperaldosteronism.
C. In hyperaldosteronism, the serum sodium is typically elevated, but the potassium level is very low, not elevated as seen in this option.
D. While low potassium is indicative of hyperaldosteronism, the sodium level is abnormally low in this case, which is not typical for this condition. Hyperaldosteronism typically presents with elevated sodium.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Fatigue: While fatigue can occur in lung cancer patients, it is not the most common symptom. Fatigue is more of a generalized symptom that can be seen in many diseases, not specific to lung cancer.
B. Hoarseness: Hoarseness can be a symptom of lung cancer, particularly if a tumor is affecting the laryngeal nerves. However, it is less common than a persistent cough and is not usually the initial symptom.
C. Anorexia: Anorexia (loss of appetite) can occur in patients with advanced cancer, including lung cancer, but it is not the most common presenting symptom. Weight loss due to anorexia is more common in later stages.
D. Persistent cough: This is the correct answer. A persistent cough is the most common symptom of lung cancer, especially in the early stages. The cough may be dry or productive and is often overlooked or mistaken for a chronic respiratory condition. It is frequently one of the first signs that leads to further investigation and diagnosis.

A. The patient has a pleural friction rub. B. The patient has an infection at the drainage site. C. The patient has a bronchopleural leak. D. The patient has complete lung re-expansion.

Correct Answer is C

Explanation

A. A pleural friction rub occurs when the pleural surfaces rub against each other, usually due to inflammation, but it does not directly cause increased bubbling in the water seal chamber of a chest drainage unit.
B. An infection at the drainage site could lead to localized symptoms like redness or discharge, but it does not directly cause increased bubbling in the water seal chamber.
C. A bronchopleural leak is the most likely cause of increased bubbling in the water seal chamber. This occurs when there is an air leak between the lungs and pleural space, causing continuous air to enter the chest drainage system.
D. Complete lung re-expansion would not typically cause bubbling in the water seal chamber. Once the lung is fully re-expanded, bubbling should stop.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which serum electrolyte value alerts the nurse to the possibility of hyperaldosteronism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the most common symptom of lung cancer?

Correct Answer is D

Explanation

The nurse suspects which cause of increased bubbling in the water seal chamber of a patient's chest drainage unit?

Correct Answer is C

Explanation

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?

The nurse assists a patient into which position in preparation for a diagnostic thoracentesis?

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

A nurse is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching?

Which serum electrolyte value alerts the nurse to the possibility of hyperaldosteronism?

A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?

The nurse is caring for a patient with obesity who is being considered for bariatric surgery. Which do the criteria guidelines for bariatric surgery include?

Which side effect of radiation therapy will the nurse anticipate in a patient who has laryngeal cancer?