The charge nurse has stated a client has hyperkalemia and needs cardiac monitoring. The nurse noted which of following lab values?
Sodium 148
Potassium 3.1
Sodium 130
Potassium 5.7
The Correct Answer is D
A. Sodium 148: This represents mild hypernatremia, but sodium levels are not the primary concern for cardiac monitoring.
B. Potassium 3.1: This is hypokalemia (low potassium), not hyperkalemia.
C. Sodium 130: This represents hyponatremia, which can cause neurological symptoms, not hyperkalemia.
D. Potassium 5.7: Hyperkalemia is defined as K⁺ >5.0 mEq/L. Levels above 5.5 can cause dangerous cardiac dysrhythmias, requiring ECG monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.
B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.
C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.
D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.
Correct Answer is D
Explanation
A. Administering medications at different times: timing does not affect renal function monitoring.
B. Comparing the client’s armband with the MAR: this is a safety check, not a precaution for renal function.
C. Monitoring for a decrease in BUN and creatinine: a decrease does not indicate renal impairment.
D. Closely monitoring the client's BUN and creatinine for an increase from baseline: Renal function declines with age, increasing the risk of drug accumulation and toxicity. An increase in BUN (normal: 7-20 mg/dL) and creatinine (normal: 0.6-1.3 mg/dL) indicates worsening kidney function and necessitates medication adjustments.
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