Exam (elaborations) Nursing

A nurse is assessing a client who has hyperkalemia. Which of the following findings should the nurse expect? a. decreased muscle strength b. decreased gastric motility c. increased heart rate d. increased blood pressure - answera. hyperkalemia can cause: -muscle weakness -increased gastric motility -bradycardia -hypotension A client who takes hydrochlorothiazide is confused and lethargic. Which lab value should the nurse report? a. sodium 128 mEq/L b. potassium 4.8 mEq/L c. calcium 9.1 mg/dL d. magnesium 2.0 mEq/L - answera. sodium levels: 136-145 mEq/L potassium levels: 3.5 to 5 mEq/L calcium levels: 9 to 10.5 mg/dL magnesium levels: 1.3 to 2.1 mEq/L ***know your normals****** *nurse should monitor for hypokalemia, hypercalcemia, and hypomagnesemia when taking hydrochlorothiazide A nursing assessing a client who is using a PCA following a thoracotomy. The client is SOB, restless, resp 28/min. ABG, ph-7.52, PaO2 89 mmHg, PaCO2 28, HCO3 24, Which action should the nurse take? a. instruct client to cough forcefully b. assist the client w/ ambulation c. provide calming interventions d. d/c the PCA - answerc. clients RR is above the expected range. calming the client should decrease the RR, which will cause the clients carbon dioxide levels to increase. This will help correct the pH imbalance. -coughing will not correct the ABG -ambulating can exacerbate the client's respiratory distress -d/c the PCA will not treat the cause of the ABG results and could exacerbate the clients respiratory distress A nurse is assessing pt w/ calcium of 8.1. What should the nurse assess? a. deep-tendon reflexes b. cardiac rhythm c. peripheral sensation d. bowel sounds - answerb.