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Practice Question

A nurse is caring for a client who has a serum potassium level of 5.9 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?

Answer Choices:

Correct Answer:

A reduction of a peaked T wave

Rationale:

✔A peaked T wave is a hallmark ECG finding in hyperkalemia. Polystyrene sulfonate (Kayexalate) treats hyperkalemia by facilitating potassium excretion via the gastrointestinal tract.

🧨When effective, the ECG will show normalization of the T wave as potassium levels decrease.

👉Widened QRS and prolonged PR intervals may also occur in severe hyperkalemia, but reduction of peaked T waves is the best marker of treatment efficacy.

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This question is from ATI RN Custom MS2 Quiz 2 Fall 2023 HR Med-Surg Cardiovascular which contains 24 questions.

More Questions from This Exam
A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

Answer Choices:

A. Take one tablet sublingually every 5 minutes x3 to relieve chest pain.
B. Take this medication with 8 ounces of water.
C. Take this medication after each meal and at bedtime.
D. Take one tablet every 10 minutes x3 during an acute attack.
A client has with Angina has been ordered to take sublingual NTG tablets. Which of the following instructions should the nurse include?

Answer Choices:

A. To take the tablet with a large amount of water so that it will dissolve right away
B. Go to the nearest hospital and take the medication upon reaching the hospital
C. To lie or sit and place one tablet under the tongue when chest pain occurs
D. If one tablet does not relieve the pain in 15 minutes, the patient should go to the hospital
From Exam
ATI RN Custom MS2 Quiz 2 Fall 2023 HR Med-Surg Cardiovascular

24 Questions

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Question Details
  • Category: RN Nursing Exams
  • Subcategory: ATI Exams (RN)
  • Domain: MED-SURG Exams (RN ati)
  • Answer Choices: 4
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