The telemetry unit nurse is reviewing laboratory results for a client who is scheduled for an operative procedure later in the day. The nurse notes on the laboratory report that the client has a serum potassium level of 6.5 mEq/L (6.5 mmol/L), indicative of hyperkalemia. The nurse informs the health care provider of this laboratory result because the nurse recognizes hyperkalemia increases the client's operative risk for:

bleeding and anemia.

infection.

cardiac problems.

fluid imbalances.

Answer and Explanation

The Correct Answer is C

A. Hyperkalemia does not directly cause bleeding or anemia.
B. Hyperkalemia is not associated with increased risk of infection.
C. Hyperkalemia increases the risk of cardiac problems, such as arrhythmias, which can be life-threatening, especially during surgery. Elevated potassium levels affect the electrical conduction system of the heart.
D. While potassium is involved in fluid and electrolyte balance, hyperkalemia itself is more critical for cardiac function than general fluid imbalances.

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Correct Answer is C

Explanation

A. The defendant is the person being sued—in this case, the nurse.
B. A litigator is a lawyer who handles lawsuits, not the person bringing the suit.
C. The plaintiff is the person who initiates a lawsuit by filing a complaint against another party.
D. A witness is someone who provides testimony or evidence but is not a party to the lawsuit.

A. When preparing to discharge the client home B. When documenting the care that was provided to a client whose condition recently deteriorated C. When transferring a client from the emergency department to the acute care unit D. When reporting to a client's family member or significant other

Correct Answer is C

Explanation

A. Discharge preparation involves teaching and planning, but ISBARR is not typically used.
B. Documentation uses standard medical record formats, not ISBARR.
C. ISBARR is designed for clear, structured communication between healthcare providers, especially during client handoffs like transferring from the emergency department to acute care.
D. Reporting to family uses a different communication style focused on support and explanation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is suing a nurse for malpractice. What is the term for the person bringing suit?

Correct Answer is C

Explanation

The nurse should utilize ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?

Correct Answer is C

Explanation

A client asks a nurse to explain a living will. What is the nurse's best Answer?

A client verbalizes to a mental health counselor, "My life is meaningless since my spouse divorced me and that I no longer want to live." What nursing concern, resulting from the client's spiritual distress, is appropriate for care planning?

A client has had a breast removed to treat cancer. What type of loss will the client likely experience?

Which factor is the most important to consider when caring for clients with limited income?

Which misconception is common in clients in pain?

The nurse determines that the student who has been instructed about lung function and smoking requires additional teaching when the student says

When assisting a client from the bed into a wheelchair, the nurse assesses the client on standing and notices the client is weak and unsteady. What would be the recommended nursing intervention in this situation?