A client with chronic kidney disease is receiving IV therapy with a potassium-containing solution. The nurse should carefully monitor the client for which complication?
Hypokalemia
Hyperkalemia
Hypocalcemia
Hyponatremia
The Correct Answer is B
A) This choice is incorrect because receiving a potassium-containing solution is not associated with hypokalemia, but rather with the risk of hyperkalemia due to the increased potassium intake.
B) This choice is correct. Clients with chronic kidney disease are at risk of hyperkalemia, and receiving a potassium-containing solution through IV therapy can further elevate potassium levels.
C) This choice is incorrect because IV therapy with a potassium-containing solution is not related to hypocalcemia.
D) This choice is incorrect because IV therapy with a potassium-containing solution is not associated with hyponatremia.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because phlebitis and infiltration are not associated with symptoms of shortness of breath, crackles in the lungs, and jugular vein distention.
B) This choice is incorrect because infiltration typically does not cause respiratory symptoms like shortness of breath and crackles in the lungs.
C) This choice is correct. The client's symptoms of shortness of breath, crackles in the lungs (rales), and jugular vein distention are potential signs of fluid overload, which occurs when there is an excessive volume of IV fluids administered.
D) This choice is incorrect because catheter occlusion does not cause respiratory symptoms like those described by the client.
Correct Answer is D
Explanation
A) This choice is incorrect because infiltration involves the inadvertent administration of IV fluid into the surrounding tissues and is not typically associated with systemic symptoms like fever, tachycardia, and hypotension.
B) This choice is incorrect because phlebitis typically presents with localized symptoms around the insertion site and is not associated with systemic symptoms like fever, tachycardia, and hypotension.
C) This choice is incorrect because fluid overload is not associated with symptoms of fever, tachycardia, and hypotension. It is characterized by symptoms such as dyspnea and edema.
D) This choice is correct. The client's symptoms of fever, tachycardia, and hypotension are potential signs of sepsis, a severe infection that can occur as a complication of IV therapy. Sepsis is a life-threatening condition that requires immediate medical attention.
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