A nurse is collecting data from a client whose Hgb is 8.8 mg/dL. Which of the following statements should the nurse expect?

"I feel tired all the time."

"I have noticed that my fingernails are becoming thicker."

"I have to go to the bathroom all the time."

"I notice that my hands are always shaky."

Answer and Explanation

The Correct Answer is A

A.   Fatigue is a common symptom of anemia, which can result from a low hemoglobin level.
Decreased oxygen-carrying capacity leads to feelings of tiredness.
B.   Thickened fingernails are not typically associated with low hemoglobin levels. This symptom is more commonly seen in conditions such as fungal infections or psoriasis.
C.   The need to go to the bathroom frequently is not directly related to low hemoglobin levels. It may be indicative of other conditions such as urinary tract infections or diabetes.
D.   Shaky hands are not typically associated with low hemoglobin levels. This symptom may be seen in conditions such as essential tremor or Parkinson's disease.

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Correct Answer is C

Explanation

A. Pitting edema: Pitting edema is a sign of fluid retention and is not specifically associated with hypokalemia.
B. Diplopia: Diplopia refers to double vision and is not typically associated with hypokalemia.
C. Muscle weakness: Hypokalemia can lead to muscle weakness due to the impaired function of skeletal muscles.
D. Hyperactive bowel sounds: Hyperactive bowel sounds can occur in conditions such as diarrhea but are not specific to hypokalemia.

A. Changing the dressing on a client's IV site B. Suctioning a client's new tracheostomy C. Evaluating a client's risk for developing pressure injuries D. Administering a large-volume enema to a client

Correct Answer is D

Explanation

A. Changing the dressing on a client's IV site: This is a sterile procedure and requires the nurse’s clinical expertise. It cannot be delegated to assistive personnel (AP).

B. Suctioning a client's new tracheostomy: Suctioning a tracheostomy, especially a new one, is a sterile procedure requiring clinical judgment and skill, which is beyond the scope of assistive personnel.

C. Evaluating a client's risk for developing pressure injuries: This is an assessment task that requires clinical judgment and critical thinking. It falls under the nurse’s scope of practice and should not be delegated to AP.

D. Administering a large-volume enema to a client: Assisting with or administering an enema is a task that can be delegated to assistive personnel, as it is within their scope of practice, provided the client is stable and the procedure does not require complex judgment.

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A nurse is collecting data from a client whose Hgb is 8.8 mg/dL. Which of the following statements should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse in an urgent care clinic is collecting data from a client who reports having diarrhea for the past 3 days. Which of the following findings indicates hypokalemia?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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