The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?
Cardiac
Neurological
Gastrointestinal
Respiratory
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A Yankauer suction tip catheter is used for suctioning secretions and does not assess cardiac function or afterload.
B. A blood pressure cuff is essential for measuring blood pressure, which can indicate increased afterload through elevated systemic vascular resistance.
C. An oxygen cannula is used for delivering supplemental oxygen and does not provide information about cardiac afterload.
D. A pulse oximeter measures oxygen saturation, which is not directly related to assessing cardiac afterload.
Correct Answer is B
Explanation
A. Multipersonal connectedness involves relationships with multiple people, which is not the focus of the nurse-patient connection in spiritual care.
B. Transpersonal connectedness refers to a connection that goes beyond the physical and mental levels, fostering a deeper spiritual relationship between the nurse and the patient, often characterized by empathy and understanding.
C. Interpersonal connectedness describes the relationship between individuals, focusing on social and emotional interactions, but does not encompass the spiritual dimension.
D. Intrapersonal connectedness relates to an individual's self-awareness and inner thoughts, not the connection with another person in a spiritual context.
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