A nurse is caring for a patient who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Hyperactive bowel sounds
Decreased deep tendon reflexes
Cerebral edema
Weakening
The Correct Answer is B
Choice A reason: Hyperactive bowel sounds are not typically associated with hyperkalemia, which is a high level of potassium in the blood.
Choice B reason: Decreased deep tendon reflexes can be a sign of hyperkalemia, as high potassium levels can affect neuromuscular function.
Choice C reason: Cerebral edema is not a direct manifestation of hyperkalemia; it is more commonly associated with other conditions such as traumatic brain injury or stroke.
Choice D reason: Weakening, or muscle weakness, can be a symptom of hyperkalemia, but it is less specific than decreased deep tendon reflexes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Forming a routine at different times of the day does not specifically address constipation and can be confusing for the patient.
Choice B reason: Increasing daily fluid intake can help alleviate constipation by softening the stool and promoting bowel movements.
Choice C reason: Increasing daily activity can help with constipation, but it is not as immediate or effective as increasing fluid intake.
Choice D reason: Consuming a low-fiber diet is not recommended for constipation; in fact, a high-fiber diet is beneficial.
Correct Answer is D
Explanation
Choice A reason: While nurses play a role in the informed consent process, they are not responsible for obtaining the consent for the surgery.
Choice B reason: An anesthesiologist may obtain consent for anesthesia but not for the surgical procedure itself.
Choice C reason: The surgical suite nurse assists in the operating room but does not obtain consent for the surgery.
Choice D reason: The surgeon performing the procedure is responsible for obtaining informed consent from the patient, making this the correct answer.
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