A nurse is reviewing the lab results and electrocardiogram (ECG) of a patient with End Stage Renal Disease (ESRD). The nurse correlates which ECG finding to a potassium level of 6.8?

Prolonged PR interval

Presence of a U wave

Peaked T waves

Elevated ST segment

Answer and Explanation

The Correct Answer is C

A. A prolonged PR interval can be seen in hyperkalemia but is not as characteristic as peaked T waves.
B. A U wave is typically seen in hypokalemia, not hyperkalemia.
C. Peaked T waves are a hallmark ECG finding in hyperkalemia and occur due to increased repolarization speed.
D. ST segment elevation is more commonly associated with myocardial infarction rather than hyperkalemia.

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Correct Answer is D

Explanation

A. Deep palpation of the abdomen is contraindicated in clients with an AAA, as it may cause rupture.
B. A chest X-ray may detect an aneurysm, but it is not the priority assessment.
C. Pain assessment is important, as sudden severe pain could indicate rupture, but it is not the first priority.
D. Blood pressure assessment is the priority, as hypertension can increase the risk of aneurysm rupture. Strict BP control is critical to preventing complications.

A. Hypertensive crisis B. Cardiogenic shock C. Embolic cerebral vascular accident D. Flash pulmonary edema

Correct Answer is C

Explanation

A. Hypertensive crisis is not a direct complication of atrial fibrillation. It is typically caused by uncontrolled hypertension rather than arrhythmias.
B. Cardiogenic shock can occur in severe heart failure but is not a primary complication of atrial fibrillation.
C. Embolic cerebral vascular accident (stroke) is a major risk for clients with atrial fibrillation. The irregular atrial contractions allow blood to pool in the atria, increasing the risk of clot formation. If a clot dislodges, it can travel to the brain and cause a stroke.
D. Flash pulmonary edema is a complication of acute decompensated heart failure but is not directly caused by atrial fibrillation.

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A nurse is reviewing the lab results and electrocardiogram (ECG) of a patient with End Stage Renal Disease (ESRD). The nurse correlates which ECG finding to a potassium level of 6.8?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a history of an abdominal aortic aneurysm (AAA). Which of the following assessments should be the nurse's priority for a client with an abdominal aortic aneurysm?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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