NCLEX-RN
NCLEX RN Physiological Integrity Questions
Extract:
Question 1 of 5
A 47-year-old client presents to the emergency department with severe hypotension, muscle weakness, fatigue, and vomiting. Labs reveal a potassium level of 6.1 mEq/L and a sodium level of 128 mEq/L. Which of the following should the nurse anticipate for this client?
Correct Answer: C
Rationale: Symptoms and labs suggest Addisonian crisis (hypotension, hyperkalemia, hyponatremia). IV saline, dextrose, and hydrocortisone (
C) stabilize the client. Spironolactone (
A) worsens hyperkalemia, Lactated Ringer's (
B) is less specific, and potassium (
D) is contraindicated.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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