A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

Hyperactive reflexes

Hyperactive bowel sounds

Weak, irregular pulse

Extreme thirst

Answer and Explanation

The Correct Answer is C

A: Hypokalemia is associated with hypoactive reflexes, not hyperactive reflexes.
B: Hyperactive bowel sounds are more indicative of hyperkalemia, not hypokalemia.
C: Weak, irregular pulse is a common manifestation of hypokalemia and reflects the impact of potassium on cardiac function.
D: Extreme thirst is not a typical symptom of hypokalemia.

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Correct Answer is D

Explanation

A. Placing electrical cords along the walls is not a significant safety risk unless they create a tripping hazard.
B. Handrails in the bathroom are a safety measure and help prevent falls.
C. Using a microwave for cooking is not inherently unsafe.
D. Scatter rugs can create a tripping hazard, especially for someone with decreased vision, and pose a safety risk.

A. The client who has end-stage renal failure and is scheduled for dialysis today. B. The client who has left-sided heart failure and has a brain natriuretic peptide (BNP) level of 600 pg/mL C. The client who has been NPO since midnight for endoscopy. D. The client who has gastroenteritis and is febrile.

Correct Answer is D

Explanation

A: End-stage renal failure is associated with fluid retention, making this client less likely to be at risk for fluid volume deficit.
B: Left-sided heart failure with an elevated BNP level suggests fluid overload, not deficit.
C: The client who has been NPO since midnight for endoscopy is not at risk for fluid volume deficit because the duration of fasting is not long enough to cause significant dehydration.
D: The client who has gastroenteritis and is febrile is at risk for fluid volume deficit because of the loss of fluids and electrolytes from vomiting and diarrhea, as well as the increased insensible water loss from fever.

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A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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