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Module 10 Development of Hyperkalemia & Kidney Disease Practice Quiz

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Subject
Health & Medical
Type
Exam Practice
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Question 1
0.2 out of 0.2 points
What intervention is most important to teach the client about identifying the onset of
dehydration?
Selected Answer:
c.
Obtaining and charting daily weight
Answers:
a.
Measuring abdominal girth
b.
Selecting food items with high water content
c.
Obtaining and charting daily weight
d.
Converting ounces to milliliters
Response
Feedback:
Question 2
0.2 out of 0.2 points
A client has hypokalemia. Which question by the nurse obtains the most information on
a possible cause?
Selected Answer:
c.
“Do you use diuretics or laxatives?”
Answers:
a.
“Have your bowel habits changed recently?”
b.
“Do you use sugar substitutes?”
c.
“Do you use diuretics or laxatives?”
d.
“Do you have any kidney disease?”
Response
Feedback:
Misuse and overuse of diuretics, especially high-ceiling (loop) and
thiazide diuretics, and laxatives are common causes of hypokalemia in

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older adults and in clients with eating disorders. Sugar substitutes and
bowel habits are not related to hypokalemia. The client with kidney
disease would be more likely to have hyperkalemia.
Question 3
0.2 out of 0.2 points
A client has been treated for hypokalemia. Which clinical manifestation or condition
indicates that treatment has been effective?
Selected Answer:
d.
Having a bowel movement daily
Answers:
a.
Gaining 2 lb during the past week
b.
Fasting blood glucose level of 106 mg/dL
c.
Electrocardiogram (ECG) showing inverted T-waves
d.
Having a bowel movement daily
Response
Feedback:
Hypokalemia depresses all excitable tissues, including gastrointestinal
smooth muscle. Clients who have hypokalemia have reduced or absent
bowel sounds and are constipated. The other answer options are not
applicable to hypokalemia.
Question 4
0.2 out of 0.2 points
Which client statement indicates the need for more teaching regarding identification of
the early manifestations of hypokalemia?
Selected Answer:
b.
“When I am constipated, I drink more fluids.”
Answers:
a.
“When my muscles feel weak, I eat a banana.”
b.
“When I am constipated, I drink more fluids.”
c.
“I have been weighing myself every day.”
d.

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• Question 1 0.2 out of 0.2 points What intervention is most important to teach the client about identifying the onset of dehydration? Selected Answer: c. Obtaining and charting daily weight Answers: a. Measuring abdominal girth b. Selecting food items with high water content c. Obtaining and charting daily weight d. Converting ounces to milliliters Response Feedback: Because 1 L of water weighs 1 kg, change in body weight is a good measure of excess fluid loss or fluid retention. Obtaining and charting accurate daily weights is the most sensitive and cost-effective way of monitoring fluid balance in the home. The other options would not be useful for early detection of dehydration. • Question 2 0.2 out of 0.2 points A client has hypokalemia. Which question by the nurse obtains the most information on a possible cause? Selected Answer: c. “Do you use diuretics or laxatives?” Answers: a. “Have your bowel habits changed recently?” b. “Do you use sugar substitutes?” c. “Do you use diuretics or laxatives?” d. “Do you have any kidney disease?” Response Feedback: Misuse and overuse of diuretics, especially high-ceiling (loop) and thiazide diuretics, and laxatives are common causes of hypokalemia in older adults and in clients with eating disorders. Sugar substitutes and bowel habits are not related to hypokalemia. The client with kidney disease would be more likely to have hyperkalemia. • Question 3 0.2 out of 0.2 points A client has been tre ...
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