A nurse is collecting data from an older adult client who has a potassium level of 3.2 mEq/L. Which of the following findings should the nurse expect?

Muscle weakness

Difficulty swallowing

Hyperreflexia

Diarrhea

Answer and Explanation

The Correct Answer is A

A potassium level of 3.2 mEq/L indicates hypokalemia, which can lead to muscle weakness. Difficulty swallowing, hyperreflexia, and diarrhoea are not typical signs of hypokalemia.

Other choices are not correct because:

B. Difficulty swallowing: Is not a typical sign of hypokalemia.

C. Hyperreflexia: Is not a typical sign of hypokalemia.

D. Diarrhea: Is not a typical sign of hypokalemia.

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Correct Answer is A

Explanation

The correct answer is: Choice A: Maintain direct pressure over the site.

Here's the rationale for each choice:

Choice A: Maintain direct pressure over the site (CORRECT) This is the most important initial step in controlling bleeding for any patient, especially one with hemophilia who has a deficiency in clotting factors. Maintaining pressure directly on the wound helps to form a clot and stop the bleeding.
Choice B: Check whether the bleeding has stopped While checking for bleeding cessation is important, it shouldn't be the immediate next step after applying a dressing. Maintaining pressure ensures the dressing remains effective. Once pressure is released, you can assess for continued bleeding.
Choice C: Obtain a radial pulse Assessing the radial pulse is not directly related to managing the bleeding from the laceration. While it's a vital sign, it's not a priority in this situation.
Choice D: Reinforce the dressing over the site While reinforcing the dressing might be necessary later if it becomes saturated with blood, maintaining direct pressure is the crucial first step.

A. Loss of appetite B. WBC count 15,000/mm C. Rigid, board-like abdomen D. Temperature 37.8°C (100°F)

Correct Answer is C

No explanation

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A nurse is collecting data from an older adult client who has a potassium level of 3.2 mEq/L. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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