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The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?

History of Addison's disease.

Has sustained tissue damage.

Uric acid level of 9.4 mg/dL.

Requires nasogastric suction.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Requires nasogastric suction.

Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body.

This can cause hypokalemia, which is a low level of potassium in the blood.

Choice A is wrong because Addison’s disease causes hyperkalemia, which is a high level of potassium in the blood.

Choice B is wrong because tissue damage can release potassium from the cells into the blood, causing hyperkalemia.

Choice C is wrong because uric acid level is not related to potassium level.

Uric acid is a waste product of purine metabolism that can cause gout or kidney stones if elevated.

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Correct Answer is C

Explanation

The correct answer is choice C. Lime ice popsicle.

Choice A rationale:

Orange juice is acidic and can irritate the stomach lining, which is not ideal for someone recovering from gastroenteritis.Acidic foods and drinks can exacerbate symptoms like nausea and stomach pain.

Choice B rationale:

Cream of broccoli soup is not recommended because it is a dairy-based product.Dairy can be difficult to digest and may worsen symptoms like diarrhea and stomach cramps during the recovery phase of gastroenteritis.

Choice C rationale:

Lime ice popsicle is a good choice because it is a clear liquid that can help with hydration and is easy on the stomach.Ice popsicles can also help soothe the throat and provide a small amount of sugar for energy without overwhelming the digestive system.

Choice D rationale:

Vanilla pudding, although soft, contains dairy, which can be hard to digest for someone recovering from gastroenteritis.Dairy products can lead to further gastrointestinal discomfort.

A. Have an assistive personnel feed the client. B. Apply foam handles to the client's eating utensils. C. Obtain a referral for physical therapy. D. Ask the provider for a prescription for a pureed diet.

Correct Answer is B

Explanation

Apply foam handles to the client's eating utensils. This intervention can help the client grip the utensils better and improve their ability to eat.

Reasons why the other options are not answers:

Option A: Having an assistive personnel feed the client may decrease the client's autonomy.

Option C: Obtaining a referral for physical therapy may be helpful but does not address the immediate issue of difficulty with eating.

Option D: Asking the provider for a prescription for a pureed diet may not be necessary or desirable at this time.

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The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?

Nursing Test Bank

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