A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

Apple juice

Cream of rice cereal

Vanilla yogurt

Scrambled eggs

Answer and Explanation

The Correct Answer is D

A. Apple juice: Apple juice is appropriate for a full liquid diet.
B. Cream of rice cereal: Cream of rice cereal is suitable for a full liquid diet as it can be made to a thin consistency.
C. Vanilla yogurt: Vanilla yogurt is allowed on a full liquid diet.
D. Scrambled eggs: Scrambled eggs are not considered part of a full liquid diet as they are a solid food.

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Correct Answer is B

Explanation

A. Hold the medication until the client has his evening meal: Holding the medication for this reason is inappropriate because the issue is the elevated potassium level, not the timing with meals.
B. Inform the provider of the client's potassium level: Correct. A potassium level of 5.8 mEq/L is elevated (hyperkalemia), and the provider should be informed immediately before administering any more potassium.
C. Obtain a prescription to increase the dosage of the medication: Increasing the dosage would be dangerous given the elevated potassium level.
D. Give the medication as prescribed: Administering potassium chloride with a high potassium level is unsafe and could exacerbate the hyperkalemia.

A. Hyperreflexia B. Increased appetite C. Cardiac dysrhythmias D. Hypoglycemia

Correct Answer is C

Explanation

A. Hyperreflexia: Hypokalemia typically causes hyporeflexia, not hyperreflexia.
B. Increased appetite: Hypokalemia does not affect appetite; it can cause gastrointestinal symptoms like constipation.
C. Cardiac dysrhythmias: Low potassium levels can lead to dangerous cardiac dysrhythmias, making this the correct physiological response.
D. Hypoglycemia: Hypokalemia does not directly cause hypoglycemia.

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A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client's potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client's hypokalemia?

Correct Answer is C

Explanation

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