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A nurse is obtaining a health history from a client that has a serum potassium level of 3.2 mEq (3.5-5.0 mEq). What statements made by the client indicate a potential cause of this clinical manifestation? Select All That Apply.

"I take electrolyte supplements because I am on a diuretic".

"My blood glucose has been very high lately because I have type I diabetes.

I have been vomiting everything I ate and drank for the past 2 days".

"At home we eat a lot of green leafy vegetables".

"I've had diarrhea for several days".

Answer and Explanation

Correct Answer : B,C,E

A. Taking electrolyte supplements would likely prevent hypokalemia unless the intake is insufficient.

B. High blood glucose levels can lead to osmotic diuresis, causing loss of potassium through urine.

C. Vomiting results in loss of potassium and other electrolytes, leading to hypokalemia.

D. Green leafy vegetables are rich in potassium and would help maintain potassium levels rather than deplete them.

E. Diarrhea leads to excessive potassium loss, contributing to hypokalemia.

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Correct Answer is C

Explanation

A. Stridor is a high-pitched sound typically heard in cases of airway obstruction.

B. Crackles are discontinuous sounds often associated with fluid in the alveoli.

C. Rhonchi are low-pitched, continuous sounds with a snoring quality, usually caused by secretions in the larger airways.

D. Wheezing is a high-pitched, continuous sound associated with narrowed airways.

A. Patient B. Patient's roommate C. Certified Nursing Assistant (CNA) D. Nurse

Correct Answer is A

Explanation

A. The patient is the primary source of information regarding their pain tolerance, as pain is subjective and only the patient can accurately describe their experience.

B. A patient's roommate cannot reliably report on the patient's pain experience.

C. The CNA may observe signs of pain but cannot determine the patient's subjective pain tolerance.

D. The nurse can assess the patient's pain based on behaviors and reports but relies on the patient for direct information.

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A nurse is obtaining a health history from a client that has a serum potassium level of 3.2 mEq (3.5-5.0 mEq). What statements made by the client indicate a potential cause of this clinical manifestation? Select All That Apply.

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Naxlex Comprehensive Predictor Exams

Upon auscultating a client's lungs, the nurse notes there is a low-pitched, continuous respiratory sound that has a snoring quality. How should the nurse interpret and document the findings?

Correct Answer is C

Explanation

When collecting data, the nurse understands which individual is the primary source of information regarding pain tolerance.

Correct Answer is A

Explanation

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