Table of Contents
- 1 Which clinical finding would be evident in a client with hypokalemia?
- 2 What adaptations should the nurse expect a client with hyperkalemia to exhibit select all that apply?
- 3 What clinical finding indicates to the nurse that a client may have hypokalemia?
- 4 What are the clinical symptoms of hyperkalemia?
- 5 What are the signs and symptoms of hypokalemia?
- 6 What interventions would be appropriate for a patient with hypokalemia?
- 7 What is the nurse closely assessing for in a patient with hypokalemia quizlet?
- 8 What is the most characteristic manifestation of hypocalcemia and hypomagnesemia?
- 9 What was the nurse’s initial physical assessment of a pressure ulcer?
Which clinical finding would be evident in a client with hypokalemia?
Common symptoms include the following: Palpitations. Skeletal muscle weakness or cramping. Paralysis, paresthesias.
What adaptations should the nurse expect a client with hyperkalemia to exhibit select all that apply?
Pathogenetic mechanisms
| Factor | Effect on Plasma K+ |
|---|---|
| Insulin | Decrease |
| Beta-adrenergic agents | Decrease |
| Alpha-adrenergic agents | Increase |
| Acidosis (decreased pH) | Increase |
What clinical finding indicates to the nurse that a client may have hypokalemia?
Muscle weakness and flaccid paralysis may be present. Patients may have depressed or absent deep-tendon reflexes. Hypoactive bowel sounds may suggest hypokalemic gastric hypomotility or ileus. Severe hypokalemia may manifest as bradycardia with cardiovascular collapse.
For which clinical manifestations associated with hypokalemia should the nurse assess the client?
Mild cases of hypokalemia can be asymptomatic but moderate and severe hypokalemia can be characterized with muscular weakness, muscular spasms, tingling, numbness, fatigue, light headedness, palpitations, constipation, bradycardia, and, in severe cases, cardiac arrest can occur.
Which clinical manifestations would the nurse identify when assessing a client with hypercalcemia?
Hypercalcemia. The signs and symptoms include muscle weakness, constipation, anorexia, nausea and vomiting, dehydration, hypoactive deep tendon reflexes lethargy, calcium stones, flank pain, pathologic fractures, and deep bone pain.
What are the clinical symptoms of hyperkalemia?
Hyperkalemia symptoms include:
- Abdominal (belly) pain and diarrhea.
- Chest pain.
- Heart palpitations or arrhythmia (irregular, fast or fluttering heartbeat).
- Muscle weakness or numbness in limbs.
- Nausea and vomiting.
What are the signs and symptoms of hypokalemia?
Once your potassium levels fall below a certain level, you might experience:
- Weakness.
- Fatigue.
- Muscle cramps or twitching.
- Constipation.
- Arrhythmia (abnormal heart rhythms)
What interventions would be appropriate for a patient with hypokalemia?
Decreasing Potassium Losses
- Discontinue diuretics/laxatives.
- Use potassium-sparing diuretics if diuretic therapy is required (eg, severe heart failure)
- Treat diarrhea or vomiting.
- Administer H2 blockers to patients receiving nasogastric suction.
- Control hyperglycemia if glycosuria is present.
What are the signs of hypokalemia?
What are the symptoms of low potassium levels?
- Muscle twitches.
- Muscle cramps or weakness.
- Muscles that will not move (paralysis)
- Abnormal heart rhythms.
- Kidney problems.
Which clinical manifestation would the nurse identify when assessing a client with hypercalcemia?
What is the nurse closely assessing for in a patient with hypokalemia quizlet?
The nurse closely assesses a patient with hypokalemia for: cardiac complications. calcium level of 6.2 mEq/L?
What is the most characteristic manifestation of hypocalcemia and hypomagnesemia?
Clinical features are often due to accompanying hypokalemia and hypocalcemia and include lethargy, tremor, tetany, seizures, and arrhythmias.
What was the nurse’s initial physical assessment of a pressure ulcer?
During the initial physical assessment of a newly admitted client with a pressure ulcer, a nurse observes that the client’s skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse’s actions adequate? The nurse also should have instituted a plan to increase activity.
Why does the Nurse apply a cooling blanket to the patient?
The nurse applies a cooling blanket and administers an antipyretic medication. The nurse explains that the rationale for these interventions is to: Promote equalization of osmotic pressures. Prevent hypoxia associated with diaphoresis. Promote integrity of intracerebral neurons. Reduce brain metabolism and limit hypoxia.
Which physiological responses are most likely to absent in the client?
Physiological responses such as elevated blood pressure and heart rate are most likely to be absent in the client with chronic pain. Pain is a subjective experience and therefore the nurse has to ask the client directly instead of accepting statement of the family members.