A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Hyperglycemia

Hypovolemia

Hypercalcemia

Hypokalemia

Answer and Explanation

The Correct Answer is A

Choice A reason: An IV infusion of dextrose 10% in water can cause hyperglycemia, which is an elevated blood sugar
level.

Choice B reason: Hypovolemia, or decreased blood volume, is not a typical adverse effect of dextrose infusion.

Choice C reason: Hypercalcemia, or high calcium levels in the blood, is not associated with dextrose infusion.

Choice D reason: While dextrose infusion can affect electrolyte balance, hypokalemia, or low potassium levels, is not
the primary concern with dextrose infusion.

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Correct Answer is B

Explanation

Choice A reason: Alternating liquids and solids is not a specific intervention for dysphagia management.

Choice B reason: Elevating the head of the bed to 45 degrees or higher during meals can help prevent aspiration in
clients with dysphagia.

Choice C reason: Telling a client with dysphagia to tilt their head back while swallowing can increase the risk of aspiration.

Choice D reason: Turning on the television is not a recommended practice as it can distract the client from focusing
on safe swallowing techniques.

A. Decreased intestinal peristalsis B. Decreased pH of the stomach C. Increased muscle tone of the bowel D. Increased gastric acid production

Correct Answer is A

Explanation

Choice A reason: With aging, there is a slight slowing in the movement of contents through the large intestine and a modest decrease in the contractions of the rectum when filled with stool, leading to decreased intestinal peristalsis.

Choice B reason: Aging does not typically result in a decreased pH of the stomach. Instead, conditions that decrease acid secretion, such as atrophic gastritis, become more common with age.

Choice C reason: Increased muscle tone of the bowel is not a change associated with aging. In fact, muscle tone may decrease, contributing to issues such as constipation.

Choice D reason: Increased gastric acid production is not a typical physiological change with aging. The secretion of stomach juices such as acid and pepsin has little effect on aging, although conditions that decrease acid secretion become more common.

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A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has dysphagia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include that older adults might experience which of the following physiological changes?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

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