A client who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?

Neurologic status

Urine volume

Cardiac rhythm

Calcium level

Answer and Explanation

The Correct Answer is C

A. Neurologic status is important to monitor but is not directly related to evaluating calcium gluconate's effect on hyperkalemia.

B. Urine volume would not directly reflect the immediate effects of calcium gluconate in managing hyperkalemia.

C. Calcium gluconate is given to protect the heart from the effects of hyperkalemia by stabilizing the cardiac membrane. Monitoring the cardiac rhythm is essential to assess the effectiveness of the treatment.

D. The calcium level is relevant for monitoring the calcium treatment, but cardiac rhythm is a more immediate indicator of its effectiveness.

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Correct Answer is A

Explanation

A. Assessing respiratory status is the priority in heart failure exacerbation, as respiratory distress can rapidly worsen and affect oxygenation.

B. While knowing current medications is important, the priority in this situation is addressing the client's respiratory needs.

C. Administering furosemide is part of the management plan but should follow the initial assessment of the client's condition, especially respiratory status.

D. Drawing blood is helpful but not the immediate priority in managing acute heart failure exacerbation.

A. "I should not cross my legs when sitting or lying down." B. "I will go out and buy some warm, heavy socks to wear." C. "It's going to be really hard but I will stop smoking." D. "I can use a heating pad on my legs if it's set on low."

Correct Answer is B

Explanation

A. Not crossing legs is an important self-management strategy for PAD. It helps improve circulation and prevent further vascular damage. This statement is correct.

B. Warm, heavy socks can be harmful for PAD clients because they may reduce circulation. Clients should avoid excessive warmth and use loose-fitting socks instead. This statement indicates misunderstanding.

C. Smoking cessation is crucial for PAD management, as smoking worsens circulation. This statement is correct.

D. Heating pads can be dangerous for clients with PAD due to the risk of burns from impaired circulation. Low settings may still be too high, so this statement requires further education.

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A client who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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