A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Hypertension

Muscle weakness

Hyperactive bowel sounds

Cerebral edema

Answer and Explanation

The Correct Answer is B

Hypokalemia refers to low levels of potassium in the blood. Potassium is an essential electrolyte that plays a crucial role in nerve and muscle cell functioning. When potassium levels are low, it can lead to muscle weakness or even muscle cramps.

Hypertension (high blood pressure) is not commonly associated with hypokalemia. In fact, hypokalemia can sometimes cause low blood pressure (hypotension).

Hyperactive bowel sounds are more commonly associated with conditions such as diarrhea, gastroenteritis, or bowel obstruction. While diarrhea can contribute to electrolyte imbalances, it is not a specific manifestation of hypokalemia.

Cerebral edema refers to swelling in the brain and is not typically associated with hypokalemia. Hypokalemia is more likely to affect muscle and nerve function rather than cerebral edema.

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Free Nursing Study Resources

Correct Answer is B

No explanation

A. Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter. B. Research how to remove an IV catheter from the internet. C. Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters. D. Review the facility's policies and procedures manual about removing IV catheters.

Correct Answer is D

Explanation

A.While an assistive personnel (AP) might assist with some tasks, they are not typically responsible for providing detailed procedural guidance on medical tasks. The nurse should seek guidance from established protocols and trained professionals.

B.While online resources can be helpful, they might not reflect the specific protocols or best practices of the facility. It's crucial to follow the facility’s policies and procedures to ensure consistency and compliance with organizational standards.

C.While reviewing current literature is beneficial for understanding best practices, the most immediate and relevant source of information is the facility's own policies and procedures. These documents will reflect the specific protocols that the facility requires.

D.Reviewing the facility's policies and procedures manual ensures that the nurse follows the specific guidelines and standards set by the institution. This approach aligns with organizational requirements and helps ensure that the procedure is performed correctly and safely within the context of the facility’s protocols.

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A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?

Correct Answer is B

A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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