A nurse is caring for a client who has a hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?
Serum potassium 4.8 mEq/L (3.5 to 5.0 mEq/L)
Serum sodium 138 mEq/L (136 to 145 mEq/L)
Calcium level of 10.0 mg/dL (9.0 to 10.5 mg/dL)
Serum glucose 58 mg/dL (74 to 106 mg/dL)
The Correct Answer is D
A. Serum potassium 4.8 mEq/L (3.5 to 5.0 mEq/L): A normal potassium level suggests effective treatment of hyperkalemia.
B. Serum sodium 138 mEq/L (136 to 145 mEq/L): This is within the normal sodium range and unrelated to the adverse effects of insulin therapy.
C. Calcium level of 10.0 mg/dL (9.0 to 10.5 mg/dL): This is within the normal calcium range, unaffected by insulin therapy for hyperkalemia.
D. Serum glucose 58 mg/dL (74 to 106 mg/dL): Hypoglycemia is a potential adverse effect of insulin therapy because insulin drives glucose into cells, lowering blood sugar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Dose required: 0.2 mg
Dose available: 0.1 mg tablets
Number of tablets = 0.2mg /0.1mg/tablet
= 2 tablets
Correct Answer is B
Explanation
A. "I'll put lotion between my toes.": This increases the risk of fungal infections and should be avoided.
B. "I'll check my feet every day for sores and bruises.": Daily foot inspections help identify injuries or infections early, crucial for clients with diabetes due to poor healing and neuropathy.
C. "I'll wear sandals in warm weather.": Open-toed shoes can lead to foot injuries or exposure to harmful elements, which should be avoided.
D. "I'll soak my feet in warm, soapy water every night before I go to bed.": Soaking can cause skin maceration and increase the risk of infection, especially in clients with diabetes.
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