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 C

Explanation

A. "Levothyroxine will decrease your metabolic rate and body temperature.": Levothyroxine increases the metabolic rate and body temperature by correcting hypothyroidism. This statement is incorrect.

B. "Take levothyroxine at dinner time daily.": Levothyroxine is best taken on an empty stomach in the morning to optimize absorption.

C. "Tremors, nervousness, and insomnia can indicate that your dose is too high.": These symptoms are consistent with hyperthyroidism, which can result from excessive levothyroxine dosage.

D. "Take this medication until manifestations of hypothyroidism are gone and then discontinue.": Levothyroxine is usually a lifelong therapy and should not be stopped without provider guidance.

A. Pathologic fractures B. Fluid retention C. Dysphagia D. Impaired skin integrity

Correct Answer is A

Explanation

A. Pathologic fractures: Hyperparathyroidism causes excessive calcium resorption from bones, leading to bone fragility and an increased risk of fractures.

B. Fluid retention: Fluid retention is not a typical feature of hyperparathyroidism; dehydration may occur due to hypercalcemia-induced diuresis.

C. Dysphagia: Dysphagia is unrelated to hyperparathyroidism; it may occur with other conditions such as esophageal disorders.

D. Impaired skin integrity: Skin integrity issues are not directly related to hyperparathyroidism.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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