A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

Hyperkalemia.

Hypocalcemia.

Elevated urea levels.

Elevated white blood cells.

Answer and Explanation

The Correct Answer is A

Hyperkalemia. Confusion, abdominal cramping, racing heart rate, and numbness of the extremities are symptoms associated with hyperkalemia, a condition where the potassium level in the blood is too high.

Hypocalcemia, choice B, is characterized by muscle spasms, numbness, and tingling around the mouth and fingertips.

Elevated urea levels, choice C, may be associated with decreased urine output, fatigue, and shortness of breath.

Elevated white blood cells, choice D, may indicate an infection.

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Correct Answer is B

Explanation

Provide the client with warm fluids. The shivering can occur due to the anesthesia, the effect of the surgery, or cold temperature in the operating room. The shivering increases the client's oxygen consumption and carbon dioxide production, which can cause hypoxia, hypercapnia, and acidosis. The nurse should provide warm fluids to prevent hypothermia and warm blankets to reduce shivering.

Option A, placing the client on a hypothermia blanket, is incorrect because it is used to lower body temperature, not raise it.

Option C, covering the client with a light blanket, is incorrect because it is not enough to keep the client warm.

Option D, ensuring that the room temperature is below 70°F, is incorrect because it is too cold for the client and can increase shivering.

A. Complaint of headache off and on for past month. B. Nausea. C. No bowel movement since yesterday. D. Frequent voiding.

Correct Answer is A

Explanation

complaint of headaches off and on for the past month. A cerebral aneurysm is a bulging or ballooning in a blood vessel in the brain that can cause severe headaches or rupture, leading to bleeding in the brain. Therefore, a complaint of a headache is of greatest concern and requires immediate attention.

Nausea (B) is a common symptom associated with many disorders, and it may or may not be related to a cerebral aneurysm. No bowel movement since yesterday

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A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

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Naxlex Comprehensive Predictor Exams

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