A client comes to the emergency department with reports of three days of watery stools and emesis x 6 in the past hour. Upon assessment, the nurse notes vital signs are B/P 130/92 mmHg, heart rate 130 bpm, respiratory rate 18 bpm, and oxygen saturation of 98% in room air. The nurse puts the client on the cardiac monitor. What does the nurse anticipate will be the prescription by the medical provider?

Heparin drip

Sodium Chloride IV bolus

Atenolol oral

Verapamil oral

Answer and Explanation

The Correct Answer is B

Choice A rationale: Heparin is an anticoagulant, not typically used to treat dehydration due to diarrhea and vomiting4.

Choice B rationale: Sodium Chloride IV bolus is often used to treat dehydration, which can be caused by three days of watery stools and emesis5.

Choice C rationale: Atenolol is a beta-blocker, used to manage heart conditions, not dehydration4.

Choice D rationale: Verapamil is a calcium channel blocker, not typically used to treat dehydration4.
So, the correct answer is Choice B, after analyzing all choices.

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Correct Answer is C

Explanation

Choice A rationale: Prolonged PR intervals are not typically associated with the use of polystyrene sulfonate2.

Choice B rationale: Widening of the QRS complex is not typically seen with the use of polystyrene sulfonate2.

Choice C rationale: Polystyrene sulfonate is used to treat hyperkalemia (high potassium levels). As potassium levels decrease, the peaked T wave seen in hyperkalemia may reduce234.

Choice D rationale: An increase in T wave amplitude is not typically associated with the use of polystyrene sulfonate2.

A. Elevated ST segment B. Widened QRS C. Inverted P wave. D. Abnormally prominent U wave

Correct Answer is D

Explanation

Choice A rationale: An elevated ST segment is not typically associated with hypokalemia45.

Choice B rationale: A widened QRS complex is not a typical finding in hypokalemia45.

Choice C rationale: An inverted P wave is not a typical sign of hypokalemia45.

Choice D rationale: An abnormally prominent U wave is a common EKG finding in hypokalemia45.

So, the correct answer is Choice D, after analysing all choices.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a serum potassium level of 5.9 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?

Correct Answer is C

Explanation

A nurse is reviewing the EKG strip of a client who is hypotensive and is complaining of leg cramping. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

Correct Answer is D

Explanation

A patient on the telemetry unit develops atrial flutter with a heart rate of 150, respirations 26, b/p 118/64 and a o2 saturation of 90% while sitting down. Which action should the nurse do FIRST?

A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr

A nurse is caring for a client who has developed a thrombus and is receiving heparin by continuous N infusion. The client asks the nurse how long will it take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

As the registered nurse, which tasks below should you NOT delegate to the LPN?

A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?

Which of the following medications does the nurse anticipate being ordered for a client admitted with the following tachycardic rhythm and complaints of palpitations and dizziness?

The charge nurse is making assignments for clients on a cardiac unit. Which client should the charge nurse assign to a new graduate nurse?

A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate on the cardiac monitor. Which dysrhythmias should the nurse expect to find on the EKG?