A nurse is providing care for a client with hypokalemia. Which condition should the nurse monitor for?

Hypertension

Ketosis

Insulin resistance

Cardiac arrhythmias

Answer and Explanation

The Correct Answer is D

Choice A reason: Hypertension is not directly caused by hypokalemia. While potassium levels can influence blood pressure, hypokalemia is more critically associated with cardiac issues rather than hypertension alone.

Choice B reason: Ketosis is a metabolic state resulting from the body burning fat for fuel instead of carbohydrates. It is not directly related to hypokalemia. Hypokalemia does not cause ketosis, and monitoring for ketosis in a client with hypokalemia is not a priority.

Choice C reason: Insulin resistance is a condition where the body’s cells do not respond properly to insulin. While potassium levels can affect insulin secretion and action, hypokalemia is not primarily associated with insulin resistance. Therefore, it is not the main concern for a nurse monitoring a client with hypokalemia.

Choice D reason: Cardiac arrhythmias are a significant concern in clients with hypokalemia. Potassium is crucial for proper cardiac function, and low levels can lead to abnormal heart rhythms. This is why monitoring for cardiac arrhythmias is essential in clients with hypokalemia.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason:

A client admitted for hip fracture surgery is at risk for various complications, but not specifically for hyperosmolar hyperglycemic syndrome (HHS). HHS is more commonly triggered by infections, severe dehydration, or other acute illnesses. While surgery can be a stressor, it is not as directly linked to HHS as infections are.

Choice B reason:

A client who is awaiting cataract surgery is not typically at high risk for developing HHS. Cataract surgery is generally a planned and controlled procedure that does not usually involve the acute stressors or infections that can precipitate HHS.

Choice C reason:

A client who is receiving an antibiotic for a urinary tract infection is at a higher risk for developing HHS. Infections are a common precipitating factor for HHS because they can cause significant stress on the body, leading to elevated blood glucose levels. The body’s response to infection can exacerbate hyperglycemia, especially in individuals with type 2 diabetes.

Choice D reason:

A client who is being evaluated for a breast lump is not typically at high risk for HHS. While the evaluation process can be stressful, it does not usually involve the acute physiological stressors or infections that are more directly linked to the development of HHS.

A. Conivaptan hydrochloride 20 mg IV over 30 minutes STAT B. Vasopressin 10 mcg PO daily C. Sodium chloride tablets 1 g PO three times daily D. Tolvaptan 30 mg PO twice daily

Correct Answer is B

Explanation

Choice A Reason:

Conivaptan hydrochloride is a vasopressin receptor antagonist used to treat hyponatremia associated with SIADH. It works by blocking the action of ADH, thereby promoting water excretion without losing sodium. This medication is appropriate for managing SIADH.

Choice B Reason:

Vasopressin, also known as antidiuretic hormone (ADH), is not appropriate for a patient with SIADH. SIADH is characterized by excessive release of ADH, leading to water retention and hyponatremia. Administering vasopressin would exacerbate the condition by increasing water retention and further lowering sodium levels.

Choice C Reason:

Sodium chloride tablets are used to manage hyponatremia by increasing sodium levels in the blood. This treatment is appropriate for patients with SIADH to help correct the sodium imbalance caused by excessive ADH.

Choice D Reason:

Tolvaptan is another vasopressin receptor antagonist that is used to treat hyponatremia associated with SIADH. It helps to increase serum sodium levels by promoting water excretion while retaining sodium. This medication is suitable for managing SIADH.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing care for a client with hypokalemia. Which condition should the nurse monitor for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for several clients who have type 2 diabetes mellitus. Which of the following clients is most at risk for developing hyperosmolar hyperglycemic syndrome (HHS)?

Correct Answer is C

Explanation

A nurse is preparing to administer medications to a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following medications should the nurse question?

Correct Answer is B

Explanation

A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All that Apply.)

A nurse is providing care for a client with hypokalemia. Which condition should the nurse monitor for?

A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

A nurse is assessing a client who has peripheral artery disease. Which of the following findings should the nurse recognize as requiring immediate intervention?

A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

A nurse is caring for a client who has diabetic ketoacidosis (DK

A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate to his client? (Select All that Apply)

A nurse is providing care for an older adult client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following clinical manifestations support the diagnosis? Select all that apply.