A nurse in the emergency department is caring for a client who has been experiencing profuse vomiting and watery diarrhea for the past 24 hours. The client reports muscle weakness and palpitations. Based on these findings, the client is at greatest risk for developing which of the following conditions?

Hypercalcemia.

Hypertension.

Hypokalemia.

Hypernatremia.

Hypoglycemia.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Hypercalcemia typically stems from hyperparathyroidism or bone malignancy; it is not a primary complication of acute gastrointestinal fluid loss from vomiting or diarrhea.

Choice B rationale: Hypertension is unlikely in this scenario; significant fluid loss through vomiting and diarrhea more commonly leads to hypovolemia, resulting in decreased blood pressure or hypotension.

Choice C rationale: Hypokalemia occurs because gastric contents and intestinal fluids are rich in potassium; excessive loss through vomiting and diarrhea directly depletes serum potassium levels, causing cardiac and muscular symptoms.

Choice D rationale: Hypernatremia can occur with dehydration, but in secretory diarrhea, sodium and water are often lost together, making the clinical focus on potassium replacement more urgent for cardiac stability.

Choice E rationale: Hypoglycemia is not the primary risk here; while oral intake may be low, the body's stress response to illness typically maintains or elevates blood glucose through gluconeogenesis.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale
A white coating in the mouth can indicate oral thrush, a common side effect of inhaled corticosteroids like beclomethasone. This requires prompt treatment to prevent further complications.
Choice B rationale
Nausea is a less common side effect of beclomethasone and is not as urgent as oral thrush.
Choice C rationale
Myalgia (muscle pain) is a less common side effect and not as critical as oral thrush.
Choice D rationale
Headache is a common side effect but not as urgent as oral thrush.

A. Decreased excretion of urine sodium. B. Increased urinary output. C. Decreased serum glucose. D. Increased blood pressure.

Correct Answer is B

Explanation

Choice A rationale
Decreased excretion of urine sodium is not an expected therapeutic effect of bumetanide. Bumetanide is a loop diuretic that works by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle, leading to increased excretion of sodium and water.
Choice B rationale
Increased urinary output is the expected therapeutic effect of bumetanide. As a potent loop diuretic, bumetanide increases the excretion of water and electrolytes, which helps reduce fluid accumulation in conditions like ascites.
Choice C rationale
Decreased serum glucose is not associated with bumetanide. Bumetanide primarily affects fluid and electrolyte balance and does not have a significant impact on blood glucose levels.
Choice D rationale
Increased blood pressure is not an expected effect of bumetanide. On the contrary, bumetanide can help lower blood pressure by reducing fluid volume and decreasing the workload on the heart.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is taking beclomethasone. Which of the following findings is the priority to report to the provider?

Correct Answer is A

Explanation

A nurse is administering bumetanide to a client who has ascites. The nurse should recognize that which of the following findings is an expected therapeutic effect of this medication?

Correct Answer is B

Explanation

A nurse is teaching a group of newly licensed nurses about the prevention of medication errors. Which of the following factors should the nurse identify as the most frequent cause of fatal medication errors?

A nurse is caring for a client who is receiving an IV infusion of heparin. Which of the following findings should indicate to the nurse the client is at risk for hemorrhage? (Select all that apply.)

A nurse is performing an assessment on a client who has been taking verapamil as prescribed for two months. Which of the following findings should the nurse identify as adverse effects of this medication? (Select all that apply.)

A nurse is reviewing laboratory data for a client who is taking simvastatin to correct plasma lipid levels. Which of the following findings should the nurse identify as an adverse effect of this therapy?

A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication?

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

A nurse is reviewing the laboratory findings for a female client who is taking zidovudine to treat HIV. Which of the following should the nurse identify as an adverse finding associated with this medication?

A nurse is caring for a client who has hyperlipidemia and a new prescription for colesevelam. The nurse should monitor the client for which of the following manifestations as an adverse effect of colesevelam?