A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?

Wheezing

Decreased deep tendon reflexes

Cerebral edema

Hypoactive bowel sounds

Answer and Explanation

The Correct Answer is B

A.   Wheezing is not typically associated with hyperkalemia. It can be seen in conditions such as asthma or chronic obstructive pulmonary disease (COPD).
B.   Hyperkalemia can lead to neuromuscular manifestations, including decreased deep tendon reflexes due to suppression of neuromuscular excitability.
C.   Cerebral edema is not a typical manifestation of hyperkalemia. It may occur in conditions such as hyponatremia or severe metabolic acidosis.
D.   Gastrointestinal manifestations of hyperkalemia are typically related to smooth muscle involvement and can include hyperactive bowel sounds or diarrhea.

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Correct Answer is ["B","C","E"]

Explanation

A. Chronic lung disease is not typically identified as a risk factor for developing kidney disease.
B. Hypertension is a significant risk factor for kidney disease as it can damage blood vessels in the kidneys over time.
C. Diabetes, especially when uncontrolled, can lead to diabetic nephropathy, a common cause of kidney disease.
D. Coronary heart disease is primarily related to the cardiovascular system and is not directly associated with kidney disease.
E. Obesity increases the risk of developing kidney disease due to associated conditions such as hypertension and diabetes.

A. The client's voice is hoarse. B. The client reports tingling around the mouth C. Moderate serosanguinous drainage noted on neck dressing. D. The client has a slight tremor noted in both hands. E. The client's temperature has increased in 1 hr from 375° C (99.5° F) to 38.6°C (101.5 F) F. The client appears restless G. Oxygen saturation 95%

Correct Answer is ["A","B","C","D","E","F"]

Explanation

The nurse should report the hoarseness of the client's voice, which could indicate recurrent laryngeal nerve damage, which is a risk associated with thyroid surgery. Tingling around the mouth may suggest hypocalcemia, a common complication after thyroidectomy due to accidental removal or damage to the parathyroid glands. The moderate serosanguinous drainage on the neck dressing could signify bleeding or infection, which requires immediate attention. The noted tremor in both hands and the increase in temperature could be signs of a thyroid storm, a rare but life-threatening condition.

Furthermore, the client's restlessness could be a response to discomfort or could indicate a more serious issue, such as an impending thyrotoxic crisis. Oxygen saturation at 95% is within normal limits postoperatively; however, it should be monitored closely.

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A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?

Correct Answer is ["B","C","E"]

Explanation

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

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A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO, 48 mm Hg and the HCO, is 23 mEq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

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