Which client is at greatest risk for hypokalemia?
A. 65-year-old with diabetes mellitus
B. 55-year-old with Addison's disease
C. 45- year-old with Cushing's disease
D. 35-year-old with diabetes insipidus
C
In Cushing's disease, the person has an excess of glucocorticoids, especially cortisol. Cortisol has some action of aldosterone, resulting in an increased reabsorption of sodium and water while enhancing the excretion of potassium. Therefore, any client with cortisol excess, whether from Cushing's disease or from exogenous cortisol, is at high risk for development of hypokalemia.
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The main focus of medical management for anorexia is to:
a. Encourage rapid weight gain. b. Encourage the client to eat voluntarily. c. Teach more appropriate food choices. d. Keep the client from developing additional problems.
The nurse assesses that the client comes from an extended family because it has:
1. multiple wage earners. 2. three generations living together. 3. children from previous marriages. 4. parents of different ethnic origins.
Which intervention for the client with sickle cell disease prevents vascular occlusion?
A. Assessing pulse oximetry every 2 hours B. Administering morphine sulfate every 6 hours C. Keeping the room temperature at or below 68o F. D. Maintaining an oral fluid intake of at least 4500 mL/day
A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
a. Each movement is repeated 5 times by the patient. b. Each movement is performed until the patient experiences pain. c. Each movement is completed quickly and smoothly by the nurse. d. Each movement is moved just to the point of resistance by the nurse.