The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?

Cardiac

Neurological

Gastrointestinal

Respiratory

Answer and Explanation

The Correct Answer is A

A. Hyperkalemia can lead to dangerous cardiac arrhythmias and other heart-related complications due to its effect on the electrical conduction system of the heart, making cardiac assessment the priority.
B. While neurological assessment is important in various conditions, it is secondary to assessing cardiac status in hyperkalemia.
C. Gastrointestinal symptoms can occur with hyperkalemia, but they do not pose an immediate life-threatening risk like cardiac issues do.
D. Respiratory assessment is essential in many contexts, but the immediate threat of hyperkalemia lies in its impact on heart function, making cardiac assessment the most critical.

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Correct Answer is A

Explanation

A. Blood flow starts from the right atrium, moves into the right ventricle, then to the lungs, where it is oxygenated and returns to the left atrium, and then flows into the left ventricle before being pumped into the aorta.
B. This sequence incorrectly places the left atrium before the right ventricle, which is not the correct flow of blood.
C. This sequence starts incorrectly with the right ventricle, skipping the left atrium entirely after blood is oxygenated.
D. This option also incorrectly starts with the right ventricle and does not include the proper sequence of blood flow.

A. Realizing that the patient's only goal is relief of the anxiety. B. Looking at how worry influences the patient's ability to function. C. Helping the patient realize that there is little hope of relief from anxiety. D. Focusing on finding quick remedies for the anxiety.

Correct Answer is B

Explanation

A. While anxiety relief is important, holistic care encompasses the patient's overall well-being and not just the alleviation of symptoms.
B. Understanding how anxiety impacts the patient's daily functioning allows for a more comprehensive approach to care, addressing both psychological and practical concerns.
C. It is inappropriate to suggest to the patient that there is little hope for relief, as this can negatively affect their mental health.
D. Focusing solely on quick fixes does not address the underlying issues of chronic anxiety and may not lead to long-term improvements.

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The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a health class about the heart. Which information from the class members indicates teaching by the nurse is successful for the flow of blood through the heart, starting in the right atrium?

Correct Answer is A

Explanation

The patient is admitted with a diagnosis of chronic anxiety. Which action is most appropriate for the nurse to take when providing holistic care?

Correct Answer is B

Explanation

A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. The absence of which finding will indicate goal achievement for the nurse's action?

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