The telemetry unit nurse is reviewing laboratory results for a client who is scheduled for an operative procedure later in the day. The nurse notes on the laboratory report that the client has a serum potassium level of 6.5 mEq/L (6.5 mmol/L), indicative of hyperkalemia. The nurse informs the health care provider of this laboratory result because the nurse recognizes hyperkalemia increases the client's operative risk for:
bleeding and anemia.
infection.
cardiac problems.
fluid imbalances.
The Correct Answer is C
A. Hyperkalemia does not directly cause bleeding or anemia.
B. Hyperkalemia is not associated with increased risk of infection.
C. Hyperkalemia increases the risk of cardiac problems, such as arrhythmias, which can be life-threatening, especially during surgery. Elevated potassium levels affect the electrical conduction system of the heart.
D. While potassium is involved in fluid and electrolyte balance, hyperkalemia itself is more critical for cardiac function than general fluid imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sedating clients with tranquilizers can increase fall risk due to dizziness and impaired cognition.
B. Allowing a client to use the bathroom independently without assessment may increase fall risk if the client requires assistance.
C. Maintaining a high bed position is unsafe and increases fall risk; beds should be kept in the lowest position to prevent injury from falls.
D. Involving family members in care provides additional supervision and support, promoting safety and reducing the need for restraints.
Correct Answer is C
Explanation
A. While clients may belong to multiple cultural groups, this is only one part of understanding them.
B. Cultural behaviors can vary by situation, but this is a subset of a broader approach.
C. The most important aspect is recognizing the client as an individual, with unique beliefs and needs, even within their cultural context. This prevents stereotyping and promotes personalized care.
D. Viewing the client only as a representative of a cultural group risks stereotyping and overlooks individual differences.
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