A nurse is caring for a client who is taking a glucocorticoid. Which of the following findings should indicate to the nurse the client is experiencing hypokalemia? (Select all that apply.)
Explanation & Rationale
A. "Muscle weakness": Hypokalemia often causes muscle weakness, which is a common symptom of low potassium levels. The muscles may feel weak or fatigued, and this is an important sign to monitor in clients taking glucocorticoids. B. "Hyperactive bowel sounds": Hypokalemia typically causes decreased gastrointestinal motility, leading to hypoactive or absent bowel sounds, constipation, and even paralytic ileus. Hyperactive bowel sounds are not characteristic of hypokalemia. C. "Tingling of fingers": Tingling of fingers is a more common symptom of hypocalcemia or hyperkalemia, or other neurological conditions. While electrolyte imbalances can have various effects, paresthesia is not a primary manifestation of hypokalemia. D. "Peaked T Waves": Peaked T waves are typically a sign of hyperkalemia (high potassium levels), not hypokalemia. In hypokalemia, the T wave on an ECG typically becomes flattened or inverted. E. "Fatigue": Fatigue is a common symptom of hypokalemia. Low potassium levels can cause general feelings of weakness and tiredness, making fatigue an important sign to monitor in clients taking glucocorticoids.