Which of the following clinical assessment findings is most likely seen in a client experiencing hypokalemia as a result of the misuse of potassium-wasting diuretics?
1. Dry, sticky tongue
2. Increased anxiety
3. Nausea and vomiting
4. Decreased bowel sounds
ANS: 4
Physical examination of a hypokalemic client may reveal weakness and fatigue, muscle weakness, nausea and vomiting, intestinal distention, decreased bowel sounds, decreased deep tendon re-flexes, ventricular dysrhythmias, paresthesias, and weak, irregular pulse. The remaining options are examples of hypernatremia, hyponatremia, and hyperkalemia.
You might also like to view...
The parent of a child who has had numerous hospitalizations asks the nurse for advice because her child has been having behavior problems at home and in school. In discussing effective discipline, what is an essential component?
a. All children display some degree of acting out and this behavior is normal. b. The child is manipulative and should have firmer limits set on her behavior. c. Positive reinforcement and encouragement should be used to promote cooperation and the desired behaviors. d. Underlying reasons for rules should be given and the child should be allowed to decide which rules should be followed.
A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment
The client says, "I already know what you are attempting to teach because I looked everything up on the Internet.". The best action for the nurse to take is to: 1. Document that the client understands teaching. 2. Give the client printed learning materials. 3. Teach the client's support system how to perform the procedure. 4. Require the client to perform a return demonstration.
The community nurse is working with a client from Southeast Asia who has delivered her first child. Her mother has come to live with the family for several months
The nurse understands that the main role of the grandmother while visiting is to do which of the following? 1. Help the new mother by allowing her to focus on resting and caring for the baby. 2. Teach her son-in-law the right way to be a father because this is his first child. 3. Make sure that her daughter does not become abusive towards the infant. 4. Pass on the cultural values and beliefs to the newborn grandchild.
While assessing a client's ability to cope after being diagnosed with a chronic illness, the client admits to an increase in drinking and smoking. The nurse recognizes the client is utilizing which type of coping strategy?
1. Short term 2. Long term 3. Adaptive 4. Effective