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)

Answer and Explanation

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.

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Correct Answer is ["2"]

Explanation

Dose required: 275 mcg

Dose available: 137 mcg/tablet

Tablets required = 275137

= 2.007137275

=2.007

rounded to 2 tablets.

A. Frequent mood changes B. Sensitivity to cold C. Constipation D. Weight gain

Correct Answer is A

Explanation

A. Frequent mood changes: Hyperthyroidism can cause irritability, anxiety, and mood swings due to increased metabolic activity.

B. Sensitivity to cold: Hyperthyroidism causes sensitivity to heat, not cold.

C. Constipation: Hyperthyroidism is associated with diarrhea or frequent bowel movements due to increased gastrointestinal motility.

D. Weight gain: Hyperthyroidism typically causes weight loss due to an increased metabolic rate, despite increased appetite.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

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