What is seen earliest in an ECG of hyperkalemia?

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Chapter 14 Nutrition and Fluid Balance Questions

Question 1 of 5

What is seen earliest in an ECG of hyperkalemia?

Correct Answer: B

Rationale: Peaked T waves are the earliest ECG change in hyperkalemia.

Question 2 of 5

Which equation is incorrect?

Correct Answer: B

Rationale: Correct osmolality formula is 2(Na+) + glucose + urea, not 2(Na+ urea + glucose).

Question 3 of 5

Which does not cause a metabolic alkalosis?

Correct Answer: B

Rationale: Diarrhoea causes metabolic acidosis due to bicarbonate loss, not alkalosis.

Question 4 of 5

Which is not a potential complication of a massive blood transfusion?

Correct Answer: B

Rationale: Hypercalcemia is not a common complication; hypocalcemia is more likely due to citrate binding.

Question 5 of 5

Which is the most appropriate replacement fluid for a patient with significant nasogastric (NG) fluid drainage?

Correct Answer: A

Rationale: NG drainage typically results in loss of sodium, chloride, and potassium. 0.9% sodium chloride with added potassium chloride (20 mEq/L) closely matches these losses, making it the most appropriate replacement fluid.

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