Exhibit 1. Exhibit 2. Provider Prescriptions.
Exhibit 3. Pancrelipase 8,000 units PO with each meal and snack.
Chest physiotherapy three times daily.
A nurse is reviewing the medical record of a school-age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client.
There are three tabs that contain separate categories of data.)

The correct answer is Choice C. Hyporeflexia.

Choice A rationale:

Oliguria, or reduced urine output, can be associated with dehydration or renal impairment, but it is not directly related to hypokalemia (low potassium levels). Hypokalemia primarily affects the muscles and heart rather than urine output.

Choice B rationale:

Hypertension is typically associated with high blood pressure and can be seen in conditions like hyperaldosteronism or Cushing's syndrome. However, it is not a direct result of hypokalemia. Low potassium levels usually lead to other cardiovascular issues such as arrhythmias, but not hypertension.

Choice C rationale:

Hyporeflexia, or decreased reflexes, is a common sign of hypokalemia. Potassium is essential for proper nerve and muscle function. When potassium levels are low, nerve impulses are slowed, leading to diminished reflexes. This symptom aligns with the preschooler's potassium level of 3.2 mEq/L, which is below the normal range.

Choice D rationale:

Hyperactive bowel sounds are not typically associated with hypokalemia. In fact, low potassium levels can lead to a reduction in gastrointestinal motility, potentially causing constipation or decreased bowel sounds, rather than hyperactivity.

Choice A rationale:

Placing the child on a clear liquid diet for 24 hours following the arterial cardiac catheterization procedure is not necessary. The procedure does not typically require dietary restrictions. However, the healthcare provider may provide specific pre-procedure dietary instructions if needed, but it's not a standard practice.

Choice B rationale:

Instructing the child that they will be on bed rest for 2 days after the procedure is not accurate. While the child may need to rest after the procedure, the duration of bed rest is typically much shorter than 2 days. It's important to provide accurate information to the child to reduce anxiety and promote understanding.

Choice C rationale:

Explaining to the child that they will need to keep their leg straight for 8 hours following the procedure is important and accurate information. Arterial cardiac catheterization often involves the insertion of a catheter through an artery in the leg, and keeping the leg straight helps prevent complications at the insertion site. This information is essential for the child to follow post-procedure instructions correctly.

Choice D rationale:

Telling the child that their dressing will be removed 12 hours after the procedure is not accurate. Dressing removal timing may vary depending on the healthcare provider's protocol, but it's not typically done immediately after the procedure. Providing inaccurate information may lead to confusion and anxiety for the child.