A nurse in a community clinic is collecting data from a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)
(Select All that Apply.)
Bradycardia
Pale Yellow Urine
Poor Skin Turgor
Hypotension
Flat Neck Veins
Correct Answer : C,D,E
A. Bradycardia: Vomiting and diarrhea usually lead to tachycardia (increased heart rate) as the body compensates for hypovolemia, not bradycardia (slow heart rate).
B. Pale Yellow Urine: Dehydration often causes the urine to become concentrated and dark yellow, not pale yellow.
C. Poor Skin Turgor: Poor skin turgor is a classic sign of dehydration caused by fluid loss.
D. Hypotension: Loss of fluid volume can result in hypotension due to reduced blood circulation.
E. Flat Neck Veins: Dehydration causes reduced venous return, leading to flat neck veins, particularly when lying down.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cardiac dysrhythmias: Hypokalemia impairs cardiac muscle function, potentially leading to arrhythmias such as ventricular tachycardia or premature ventricular contractions.
B. Hypoglycemia: Potassium does not directly cause hypoglycemia; its imbalance more commonly affects cardiac and neuromuscular function.
C. Hyperreflexia: Hypokalemia usually causes muscle weakness and diminished reflexes (hyporeflexia), not hyperreflexia.
D. Increased appetite: Hypokalemia does not typically affect appetite.
Correct Answer is C
Explanation
A. Potassium chloride: Potassium chloride is used to treat hypokalemia, not hyperkalemia.
B. Acetylcysteine: This medication is not used to treat potassium imbalances. It is primarily used to treat acetaminophen overdose or to thin mucus in respiratory conditions.
C. Sodium polystyrene: Sodium polystyrene sulfonate (Kayexalate) is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, helping to lower serum potassium levels.
D. Potassium iodide: Potassium iodide is used in thyroid conditions (such as thyroid storm) or radiation exposure and is not used to manage potassium levels.
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