The health care provider is concerned that the client has hypokalemia. During the physical examination, which question should the nurse ask the client?
"Have you been having diarrhea?"
"Have you been experiencing difficulty breathing?"
"Have you been experiencing chest pain?"
"Have you been experiencing muscle weakness or leg cramps?
The Correct Answer is D
a) "Have you been having diarrhea?" This is a risk factor or cause of hypokalemia but not a symptom of it. Good to ask, but not the most direct sign.
b) "Have you been experiencing difficulty breathing?" Severe hypokalemia can lead to respiratory muscle weakness, but it is not a common early symptom.
c) "Have you been experiencing chest pain?" Chest pain is not a common symptom of hypokalemia. It could signal cardiac issues, but not specific to low potassium.
d) "Have you been experiencing muscle weakness or leg cramps?" Classic symptoms of hypokalemia due to potassium’s role in muscle contraction and nerve conduction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["150"]
Explanation
To determine the infusion rate in mL/hr, divide the total volume (75 mL) by the time in hours (0.5 hours, since 30 minutes is 0.5 hours).
Rate(mL/hr)
= 75 ÷0.5
=150mL/hr
Correct Answer is A
Explanation
a) Providing a skin barrier for any drainage at the site: Protecting the skin from moisture or drainage prevents further irritation or breakdown. Skin barriers help maintain skin integrity.
b) Turn the client to the side: Positioning may help with aspiration prevention but does not address skin irritation around the G-tube site.
c) Apply adhesive bandage directly to the skin: Adhesive bandages can further irritate or damage already sensitive skin and are not recommended for irritated or moist areas.
d) Keep the head of bed 25 degrees: While semi-Fowler’s positioning (30–45°) is good for preventing aspiration, this is unrelated to treating skin irritation directly.
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