A nurse is assessing a client who is taking chlorothiazide sodium. The nurse recognizes which of the following as a manifestation of hypokalemia?
Diarrhea
Hypertensive crisis
Shallow respirations
Hyperreflexia
The Correct Answer is C
A. Hypokalemia causes constipation and not diarrhea.
B. Hypertensive crisis is not typically associated with hypokalemia but may be a side effect of certain antihypertensive medications.
C. Hypokalemia can affect the function of the muscles, including the respiratory muscles, leading to shallow respirations, weakness, and paralysis.
D. Hyperreflexia is not a typical manifestation of hypokalemia; it is more associated with hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While cold packs might be used for certain conditions, measuring the circumference of both upper arms is the priority in this situation.
B. Swelling of the arm above the PICC insertion site can indicate a complication such as thrombophlebitis, which is inflammation and clotting of the vein. The nurse should measure the circumference of both upper arms and compare them to detect any difference in size, which can indicate edema due to impaired venous return. This is the first action the nurse should take because it is an assessment step that can provide objective data to guide further interventions.
C. Swelling above the PICC insertion site could indicate complications such as infiltration, and the provider needs to be informed promptly. However, the nurse should first measure the circumference of both upper arms first.
D. Removing the PICC line should be done under the guidance of a healthcare provider, and it is not the first action to take.
Correct Answer is C
Explanation
A: Dextrose 10% in water does not contain calcium, so hypercalcemia is not a concern.
B: Dextrose 10% in water provides hydration and is not associated with hypovolemia.
C: Dextrose is a form of sugar, and its infusion can lead to increased blood glucose levels (hyperglycemia).
D: Dextrose 10% in water does not affect potassium levels, so hypokalemia is not a concern.
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