A nurse is caring for a group of clients.
The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)

A client taking prednisone.

A client taking torsemide.

A client taking polystyrene sulfonate.

A client taking spironolactone.

A client taking hydrochlorothiazide.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale

Prednisone, a corticosteroid, causes potassium loss through increased renal excretion, leading to hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

Choice B rationale

Torsemide, a loop diuretic, increases renal potassium loss, causing hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

Choice C rationale

Polystyrene sulfonate treats hyperkalemia by binding potassium in the gut, reducing serum potassium levels. Normal serum potassium: 3.5-5.0 mEq/L.

Choice D rationale

Spironolactone is a potassium-sparing diuretic, reducing the risk of hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

Choice E rationale

Hydrochlorothiazide, a thiazide diuretic, increases renal potassium loss, leading to hypokalemia. Normal serum potassium: 3.5-5.0 mEq/L.

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Correct Answer is A

Explanation

Choice A rationale

Metoclopramide is primarily used as an antiemetic to treat nausea and vomiting. Evaluating its effectiveness involves assessing the reduction in nausea, the primary symptom it targets.

Choice B rationale

Metoclopramide is not indicated for cough suppression. Its primary use is for gastrointestinal symptoms like nausea. Cough is not a relevant measure of its effectiveness.

Choice C rationale

Muscle relaxation is not an expected outcome of metoclopramide. It mainly targets gastrointestinal motility and nausea. Other medications are more appropriate for muscle relaxation.

Choice D rationale

Metoclopramide does not typically target pain relief. It is used for nausea and gastrointestinal motility disorders. Assessing pain reduction is not relevant for this medication. .

A. Muscle weakness. B. Hyperactive bowel sounds. C. Tingling of fingers. D. Peaked T waves. E. Fatigue.

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale

Muscle weakness is a classic sign of hypokalemia, resulting from decreased neuromuscular excitability. Normal serum potassium levels range from 3.5 to 5.0 mEq/L, with hypokalemia typically defined as levels below 3.5 mEq/L.

Choice B rationale

Hyperactive bowel sounds are more indicative of hyperkalemia due to increased gastrointestinal motility. Hypokalemia generally results in diminished bowel sounds and constipation due to decreased gastrointestinal motility.

Choice C rationale

Tingling of fingers, or paresthesia, is a symptom of hypokalemia affecting the neuromuscular system. The altered potassium levels affect nerve function, leading to sensations such as tingling or numbness.

Choice D rationale

Peaked T waves are a hallmark sign of hyperkalemia, reflecting increased cardiac excitability. Hypokalemia typically presents with flattened or inverted T waves and the presence of U waves on an ECG.

Choice E rationale

Fatigue is a non-specific but common sign of hypokalemia. The reduced potassium levels impair muscle function and cellular processes, leading to generalized weakness and fatigue. .

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A nurse is caring for a group of clients.The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for metoclopramide.Which of the following outcomes should the nurse use to evaluate the effectiveness of this medication?

Correct Answer is A

Explanation

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Correct Answer is ["A","C","E"]

Explanation

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A nurse is caring for a group of clients.
The nurse should monitor which of the following clients for manifestations of hypokalemia? (Select all that apply.)