The client's potassium level is 2.2 What nursing action has the highest priority?

Administer supplemental oxygen

Secure precautions

Cardiac monitoring

Initiating a fluid restriction

Answer and Explanation

The Correct Answer is C

A. Administer supplemental oxygen: Hypokalemia primarily affects cardiac and neuromuscular function, not oxygenation. Oxygen may be needed if dysrhythmias develop but is not the highest priority.

B. Seizure precautions: While severe hypokalemia can cause muscle weakness, seizures are not the primary concern. Cardiac effects take priority.

C. Cardiac monitoring: A potassium level of 2.2 mEq/L is critically low, increasing the risk of life-threatening cardiac arrhythmias. Continuous cardiac monitoring helps detect dangerous dysrhythmias like ventricular tachycardia.

D. Initiating a fluid restriction: Fluid restriction is more relevant for hyperkalemia or fluid overload, not hypokalemia.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.

Incorrect answers:

Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
Osteomyelitis: Infection of the bone; not a direct risk in this scenario.

A. Leukocytes B. Hemoglobin C. Platelets D. Brain Natriuretic peptide

Correct Answer is B

Explanation

A. Leukocytes: Erythropoietin does not affect white blood cell (WBC) production.

B. Hemoglobin: Erythropoietin stimulates red blood cell (RBC) production in the bone marrow. Clients with chronic kidney disease (CKD) develop anemia due to decreased natural erythropoietin production. A therapeutic response is seen as an increase in hemoglobin levels.

C. Platelets: Erythropoietin does not stimulate platelet production (thrombopoiesis).

D. Brain Natriuretic Peptide (BNP): BNP is a marker for heart failure, not erythropoiesis.

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The client's potassium level is 2.2 What nursing action has the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has severe right wrist pain. Exhibits The nurse has completed the assessment of the client. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Explanation

The nurse is caring for a client who has chronic renal disease and is receiving therapy with erythropoietin (epoetin alpha). Which of the following laboratory results should the nurse review as an indication of a therapeutic effect of this medication?

Correct Answer is B

Explanation

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