Practice Question
A nurse is assisting in the care of a female client.
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Rationale:
💎 Blood pressure is the nurse’s immediate priority due to the client's significant hypotension (BP dropped from 104/56 to 80/46 mm Hg), which indicates potential hypovolemic shock secondary to ongoing fluid loss from profuse diarrhea.
💎 Hypotension compromises tissue perfusion and oxygen delivery to vital organs, requiring prompt fluid resuscitation and hemodynamic support to prevent organ dysfunction.
💎 After stabilizing blood pressure, the nurse should address the potassium level (3.1 mEq/L), which is below the normal range and can lead to cardiac arrhythmias, muscle weakness, and worsened GI symptoms.
💎 Electrolyte imbalances are common in clients with Clostridium difficile-associated diarrhea due to excessive fluid and electrolyte loss.
💎 Although the elevated temperature and GI findings are important, circulatory collapse and hypokalemia represent the most life-threatening concerns and must be prioritized in nursing care.
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This question is from PN Pharmacology 2023 which contains 60 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pharmacology
- Answer Choices: 0