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 C
Explanation
Choice A reason: Cisapride is a prokinetic agent that increases gastrointestinal motility and is unlikely to cause constipation.
Choice B reason: Magnesium-containing antacids typically cause diarrhea rather than constipation.
Choice C reason: Opioid analgesics are known to slow gastrointestinal motility, which can lead to constipation, making this the correct answer.
Choice D reason: Statins are used to lower cholesterol and are not commonly associated with causing constipation.
Choice E reason: Anticholinergic/antispasmodic medications can cause constipation due to their action on the nervous system, which reduces muscle contractions in the gastrointestinal tract.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Performing deep breathing exercises every 2 hours helps prevent postoperative complications such as pneumonia and atelectasis.
Choice B reason: While chest movement is part of breathing, the instruction is incomplete and should emphasize diaphragmatic breathing rather than shoulder movement.
Choice C reason: Taking a deep breath before coughing helps to increase the effectiveness of the cough, which can clear secretions from the lungs.
Choice D reason: Sitting up straight before beginning coughing exercises helps to ensure maximum lung expansion and effectiveness of the cough.
Choice E reason: Using a pillow to support the surgical area when coughing can help reduce pain and protect the incision site, making the cough more effective.
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