Answer to Question 1
Correct Answer: 3
Rationale 1: Confusion might accompany hypokalemia, but decreased urine output is not a sign of hypokalemia.
Rationale 2: Neither general irritability nor increased urine output is a sign of hypokalemia.
Rationale 3: Muscle weakness and cramps are indicators of hypokalemia.
Rationale 4: Diarrhea and projectile vomiting are not associated with hypokalemia.
Global Rationale: Muscle weakness and cramps are indicators of hypokalemia. Confusion might accompany hypokalemia, but decreased urine output is not a sign of hypokalemia. Neither general irritability nor increased urine output is a sign of hypokalemia. Diarrhea and projectile vomiting are not associated with hypokalemia.
Answer to Question 2
Correct Answer: 4
Rationale 1: Intravascular fluid and interstitial fluids are components of the extracellular fluid. There is no intravascular compartment.
Rationale 2: Intravascular fluid is a component of extracellular fluid. There is no intravascular compartment.
Rationale 3: Interstitial fluid is a component of extracellular fluid. There is no interstitial compartment.
Rationale 4: Body fluids are exchanged between intracellular and extracellular compartments.
Global Rationale: Body fluids are exchanged between intracellular and extracellular compartments. Intravascular fluid and interstitial fluids are components of the extracellular fluid. There is no intravascular compartment. Interstitial fluid is a component of extracellular fluid. There is no interstitial compartment.
The nurse assesses the patient's ability to use the walker correctly
A, A nurse is adding a medication to an IV line as a piggyback
Assessing Convergence
A nurse communicates with her non–English-speaking patient through an interpreter
Indicators for assessing local blood flow
Client’s view with visual field loss