ATI Nursing 100 Day Exam 4 Fundamentals | Nurselytic

Questions 58

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ATI Nursing 100 Day Exam 4 Fundamentals Questions

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Question 1 of 5

A client has a serum potassium level of 6.3 mEq/L. The nurse recognizes that the highest priority intervention(s) for this client are to:

Correct Answer: C,E

Rationale: The correct answers are C and E. A serum potassium level of 6.3 mEq/L indicates hyperkalemia, which can lead to serious complications like cardiac arrhythmias.
Choice C is correct because assessing the client for muscle weakness and flaccid paralysis helps to monitor for potential cardiac issues.
Choice E is also correct as obtaining a physician's order for cardiac monitoring is crucial to continuously monitor the client's cardiac status.

Choices A, B, and D are incorrect.
Choice A is not a priority as diluting potassium elixir does not address the immediate risk of hyperkalemia.
Choice B is not the highest priority as it does not address the urgent need to monitor for cardiac complications.
Choice D is incorrect as encouraging intake of potassium-rich foods can worsen hyperkalemia.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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