Client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?

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Question 1 of 5

Client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?

Correct Answer: D

Rationale: Hyperkalemia (6.8 mEq/L) can cause life-threatening arrhythmias, so cardiac rhythm assessment is the priority (D). BP (A), respirations (B), and temperature (C) are secondary in this acute situation.

Question 2 of 5

The hormone responsible for a positive pregnancy test (UPT) is:

Correct Answer: C

Rationale: Human Chorionic Gonadotropin (hCG) (C) is produced by the placenta and detected in urine pregnancy tests. Estrogen (A), progesterone (B), and FSH (D) are not specific markers.

Question 3 of 5

When assessing a client with glaucoma, a nurse expects which of the following findings?

Correct Answer: B

Rationale: Glaucoma causes halos around lights (B) due to elevated intraocular pressure (IOP). Double vision (A) is unrelated, 15 mm Hg (C) is normal IOP, and a soft globe (D) suggests hypotony, not glaucoma.

Question 4 of 5

Which of the following types of immunoglobulins does not cross the barrier between mother and infant in the womb?

Correct Answer: B

Rationale: IgM (B) does not cross the placenta due to its large size; only IgG crosses. IgA (A) is in breast milk, IgD (C) and IgE (D) have specific roles but don’t cross prenatally.

Question 5 of 5

A confirmational test for gestational diabetes?

Correct Answer: C

Rationale: The glucose tolerance test (C) confirms gestational diabetes by measuring glucose response, the gold standard. Fasting sugar (A) and urine sugar (B) are screening tools.

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