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Practice Question

A nurse in a provider's office is caring for a client.Nurses' Notes 3 months ago:Client seen in provider's office for routine physical. Today:Client reports dizziness and light-headedness upon standing. Client reports waking up at night to void.Vital signsMonths ago:Weight 80 kg (176 lb)Temperature 36.7° C (98° F)Blood pressure 162/94 mm HgHeart rate 98/minRespiratory rate 18/minPulse oximetry 95% on room airTodayWeight 78 kg (172 lb)Temperature 37° C (98.6° F)Blood pressure 132/78 mm HgHeart rate 88/minRespiratory rate 16/minPulse oximetry 96% on room airLaboratory results3 months ago:Sodium 142 mEq/L (136 to 145 mEq/L)Potassium 3.8 mEq/L (3.5 to 5 mEq/L)Today:Sodium 136 mEq/L (136 to 145 mEq/L).Potassium 1.4 mEq/L (3.5 to 5 mEq/L)What actions should the nurse take? Select all that apply.

Answer Choices:

Correct Answer:

Monitor the client for dysrhythmias.

Rationale:

Severe hypokalemia (potassium 1.4 mEq/L) greatly increases ventricular dysrhythmia risk, so continuous or frequent cardiac monitoring is a priority to detect life-threatening rhythm changes early.

📉Findings of dizziness and light-headedness upon standing suggest volume depletion and orthostatic hypotension, making an orthostatic blood pressure and pulse assessment essential to confirm hemodynamic instability.

🚶‍♀️Teaching the client to change positions slowly helps prevent syncope and falls by allowing time for compensatory vascular responses in the setting of diuretic-related volume loss.

🩺Together, these actions directly address the cardiac excitability from low potassium and the hemodynamic shifts from fluid depletion, targeting the most immediate safety risks.

📌Core Message

Prioritize safety by addressing hypokalemia-related dysrhythmia risk and orthostatic hypotension—monitor the heart, assess orthostatics, and change positions slowly.

Want to practice more questions like this?

This question is from ATI RN Pharmacology 2024 Exam-1 which contains 49 questions.

More Questions from This Exam
A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

Answer Choices:

A. Withdraw the NPH insulin from the vial.
B. Withdraw the regular insulin from the vial.
C. Inject air into the regular insulin vial.
D. Inject air into the NPH vial.
From Exam
ATI RN Pharmacology 2024 Exam-1

49 Questions

View Full Exam
Question Details
  • Category: RN Nursing Exams
  • Subcategory: ATI Exams (RN)
  • Domain: PHARMACOLOGY (RN ati)
  • Answer Choices: 5
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