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A nurse is caring for a client in the emergency department. The client is at risk for developing which of the following conditions?

A.

Hypercalcemia.

B.

Hypotension.

C.

Hypokalemia.

D.

Hypernatremia.

E.

Hypoglycemia.

Answer and Explanation

The Correct Answer is E

Choice A rationale

 

Hypercalcemia is not typically a risk in the emergency department unless the patient has a specific condition that causes elevated calcium levels.

 

Choice B rationale

 

Hypotension can occur in the emergency department, especially in cases of shock or severe dehydration, but it is not the most common risk.

 

Choice C rationale

 

Hypokalemia can occur, particularly in patients with certain medical conditions or those taking diuretics, but it is not the most common risk.

 

Choice D rationale

 

Hypernatremia can occur, especially in patients with dehydration or certain medical conditions, but it is not the most common risk.

 

Choice E rationale

 

Hypoglycemia is a common risk in the emergency department, especially in patients with diabetes or those who have not eaten for an extended period.

 


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View Related questions

Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale:

The client’s temperature has decreased from 37.8°C (100°F) to 37.2°C (99°F). While this is a slight reduction, it indicates a move towards a more normal body temperature. Elevated temperatures can be associated with stress, anxiety, or other underlying conditions. A decrease in temperature suggests that the client’s body is stabilizing and that any potential underlying issues causing the elevated temperature are being managed effectively.

Choice B rationale:

The client’s mood has improved as she appears less anxious and more composed during the physical examination. Anxiety can significantly impact a person’s overall well-being, and a reduction in anxiety levels is a positive indicator of improvement. The client also expresses optimism about her recovery, which is a good sign of mental health improvement.

Choice C rationale:

The client has gained weight, increasing from 53 kg (117 lb) to 55 kg (121 lb). Weight gain in this context is a positive sign, indicating that the client’s body is responding well to treatment and that her nutritional status is improving. Unintentional weight loss can be a symptom of underlying health issues, so reversing this trend is a good indicator of recovery.

Choice D rationale:

The client reports better sleep, which is a significant improvement from her previous insomnia. Sleep is crucial for physical and mental health, and improved sleep patterns can lead to better overall health outcomes. Insomnia can exacerbate anxiety and other health issues, so better sleep is a positive sign.

Choice E rationale:

The client’s heart rate has decreased from 120/min to 95/min. A high heart rate can be a sign of anxiety, stress, or other health issues. A reduction in heart rate indicates that the client’s anxiety levels are decreasing and that her cardiovascular system is stabilizing. This is a positive sign of improvement in her overall health.

Choice F rationale:


The client's abdominal findings remained normal from the initial to the follow-up visit, so this does not indicate improvement. These findings were normal to begin with and have stayed unchanged.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Peripheral edema is a common adverse effect of verapamil. It occurs due to the vasodilatory effects of the medication, which can cause fluid retention in the extremities.

Choice B rationale

Bradycardia is an adverse effect of verapamil. It occurs because verapamil slows down the heart rate by blocking calcium channels in the heart.

Choice C rationale

Constipation is a common adverse effect of verapamil. It occurs due to the medication’s effect on smooth muscle relaxation, which can slow down gastrointestinal motility.

Choice D rationale

Reports of blurred vision are not a common adverse effect of verapamil. Blurred vision is not typically associated with this medication.

Choice E rationale

Reports of insomnia are not a common adverse effect of verapamil. Insomnia is not typically associated with this medication.

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