A client with acute renal failure is at risk of developing hyperkalemia. What clinical manifestation is the most critical indicator of severe hyperkalemia in this client?
Muscle weakness and fatigue.
Tingling sensations in the extremities.
Irregular heart rhythm (dysrhythmiA. .
Excessive thirst and dry mucous membranes.
The Correct Answer is C
A. Incorrect. Muscle weakness and fatigue are manifestations of hyperkalemia, but they are not the most critical indicators of severe hyperkalemia.
B. Incorrect. Tingling sensations in the extremities are not the most critical indicator of severe hyperkalemia.
C. Correct. The most critical manifestation of severe hyperkalemia is an irregular heart rhythm (dysrhythmiA. , which can be life-threatening.
D. Incorrect. Excessive thirst and dry mucous membranes are not specific to hyperkalemia and are not the most critical indicators of severe hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Constipation and abdominal pain are not typical manifestations of the fluid and electrolyte imbalance seen in acute renal failure.
B. Correct. Acute renal failure can lead to imbalances in electrolytes, particularly potassium and sodium. Muscle weakness and fatigue are common manifestations of these electrolyte imbalances.
C. Incorrect. Decreased heart rate and blood pressure are more commonly associated with fluid volume depletion in prerenal acute renal failure, rather than electrolyte imbalances.
D. Incorrect. Increased respiratory rate and depth are not typically associated with acute renal failure or its fluid and electrolyte imbalances.
Correct Answer is C
Explanation
A. Incorrect. Increased urine output and polyuria are not associated with uremia. In fact, acute renal failure often leads to decreased urine output (oliguria or anuriA. .
B. Incorrect. Hypertension and bradycardia are not typical manifestations of uremia.
C. Correct. Uremia is a condition characterized by the buildup of waste products and toxins in the blood due to impaired kidney function. Clinical manifestations of uremia include confusion (encephalopathy), nausea and vomiting, and pericarditis (inflammation of the pericardium, the sac surrounding the heart).
D. Incorrect. Decreased respiratory rate and shallow breathing are not directly associated with uremia.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.