You are working on the cardiac unit and you have noticed that a patient’s potassium is 6.1 mEq/L. You have notified the provider and removed the banana from his meal tray. When explaining your actions to the patient, which of these statements is appropriate?
Your potassium levels in your blood are higher than they should be, which brings a risk of changes in kidney function.
The amount of potassium in your blood is too high, but I will change your intravenous fluids.
Your potassium level is high so I need you to let me know if you feel numbness, tingling, or weakness.
I need to monitor you for signs of high potassium; tell me if you feel as if your heart is beating quickly.
The Correct Answer is C
Choice A reason: Linking high potassium to kidney function risk is inaccurate; hyperkalemia primarily affects cardiac and neuromuscular function. Numbness, tingling, or weakness are direct symptoms, making this statement less relevant for patient education and incorrect.
Choice B reason: Changing IV fluids may be a treatment but doesn’t explain the issue or engage the patient. Asking to report numbness, tingling, or weakness directly addresses hyperkalemia symptoms, making this less appropriate and incorrect.
Choice C reason: High potassium (6.1 mEq/L) can cause numbness, tingling, or weakness. Instructing the patient to report these symptoms ensures early detection of worsening hyperkalemia, making this the correct, patient-centered statement for education.
Choice D reason: Palpitations may occur, but numbness, tingling, and weakness are more specific to hyperkalemia’s neuromuscular effects. “Quick beating” is less precise for heart rhythm issues, so this is incorrect compared to option c.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Active lifestyle and community engagement are protective, not risk factors, for hip fractures. Small frame and age-related bone loss increase fracture risk, so this misidentifies beneficial factors as risks and is incorrect.
Choice B reason: Active lifestyle and social engagement may reduce risk, but the question asks for risk factors. Small frame and age-related bone loss are primary risks for Ms. Major’s fracture, so this is incorrect.
Choice C reason: Healthy diet and social support are protective, not risk factors. Ms. Major’s small frame and age (60) increase bone density loss, elevating fracture risk, so this is incorrect.
Choice D reason: Small frame and age-related bone density loss (at 60) increase Ms. Major’s hip fracture risk, as lower bone mass and aging weaken bones. These are key risk factors, making this correct.
Correct Answer is C
Explanation
Choice A reason: Release of inflammatory mediators drives inflammation, not angiogenesis. Pathological angiogenesis is excessive or abnormal vessel growth, often in diseases like cancer, so this is incorrect for the term.
Choice B reason: New vessel formation in response to injury is physiological angiogenesis, not pathological. Pathological angiogenesis involves abnormal, excessive growth, so this is incorrect for the described process.
Choice C reason: Pathological angiogenesis is excessive or abnormal blood vessel growth, seen in conditions like tumors or retinopathy. This matches the definition, making it the correct choice for the term.
Choice D reason: Inhibition of vessel formation is anti-angiogenic, not pathological angiogenesis. Excessive vessel growth defines the pathological state, so this is incorrect for the term.
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