BSN 246 HESI Health Assessment
Questions and Verified Answers |100%
Quiz_________________?
Hypokalemia appearance on EKG -
Answer✅
- U waves
- inverted T waves
- depressed ST segment
Quiz_________________?
Potassium chloride intravenously is prescribed for a client with heart failure experiencing
hypokalemia. Which actions should the nurse take to plan for preparation and
administration of the potassium?
Select all that apply.
1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
3. Prepare the medication for bolus administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of fluid.
6. Ensure that the bag is labeled so that it reads the volume of potassium in the solution. -
Answer✅
1
, 1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of fluid.
6. Ensure that the bag is labeled so that it reads the volume of potassium in the solution.
Potassium chloride administered intravenously must always be diluted in IV fluid and infused
via an infusion pump. Potassium chloride is never given by bolus (IV push). Giving potassium
chloride by IV push can result in cardiac arrest. The nurse should ensure that the potassium
is diluted in the appropriate amount of diluent or fluid. The IV bag containing the potassium
chloride should always be labeled with the volume of potassium it contains. The IV site is
monitored closely, because potassium chloride is irritating to the veins and there is risk of
phlebitis. In addition, the nurse should monitor for infiltration. The nurse monitors urinary
output during administration and contacts the primary health care provider if the urinary
output is less than 30 mL/hr.
Quiz_________________?
The nurse is assessing a client with a lactose intolerance disorder for a suspected diagnosis
of hypocalcemia. Which clinical manifestation would the nurse expect to note in the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau's sign
4. Hypoactive deep tendon reflexes -
Answer✅
1. Twitching
: A client with lactose intolerance is at risk for developing hypocalcemia, because food
products that contain calcium also contain lactose. The normal serum calcium level is 9 to
10.5 mg/dL (2.25 to 2.75 mmol/L). A serum calcium level lower than 9 mg/dL (2.25 mmol/L)
indicates hypocalcemia. Signs of hypocalcemia include paresthesias followed by numbness,
hyperactive deep tendon reflexes, and a 267 positive Trousseau's or Chvostek's sign.
Additional signs of hypocalcemia include increased neuromuscular excitability, muscle
cramps, twitching, tetany, seizures, irritability, and anxiety. Gastrointestinal symptoms
2
, include increased gastric motility, hyperactive bowel sounds, abdominal cramping, and
diarrhea.
Quiz_________________?
. The nurse is caring for a client with Crohn's disease who has a calcium level of 8 mg/dL (2
mmol/L). Which patterns would the nurse watch for on the electrocardiogram? Select all
that apply.
1. U waves
2. Widened T wave
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment -
Answer✅
4. Prolonged QT interval
5. Prolonged ST segment
A client with Crohn's disease is at risk for hypocalcemia. The normal serum calcium level is
9 to 10.5 mg/dL (2.25 to 2.75 mmol/L). A serum calcium level lower than 9 mg/dL (2.25
mmol/L) indicates hypocalcemia. Electrocardiographic changes that occur in a client with
hypocalcemia include a prolonged QT interval and prolonged ST segment. A shortened ST
segment and a widened T wave occur with hypercalcemia. ST depression and prominent U
waves occur with hypokalemia.
Quiz_________________?
The nurse reviews the electrolyte results of a client with chronic kidney disease and notes
that the potassium level is 5.7 mEq/L (5.7 mmol/L). Which patterns would the nurse watch
for on the cardiac monitor as a result of the laboratory value? Select all that apply.
1. ST depression
2. Prominent U wave
3. Tall peaked T waves
4. Prolonged ST segment
5. Widened QRS complexes -
3
Questions and Verified Answers |100%
Quiz_________________?
Hypokalemia appearance on EKG -
Answer✅
- U waves
- inverted T waves
- depressed ST segment
Quiz_________________?
Potassium chloride intravenously is prescribed for a client with heart failure experiencing
hypokalemia. Which actions should the nurse take to plan for preparation and
administration of the potassium?
Select all that apply.
1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
3. Prepare the medication for bolus administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of fluid.
6. Ensure that the bag is labeled so that it reads the volume of potassium in the solution. -
Answer✅
1
, 1. Obtain an intravenous (IV) infusion pump.
2. Monitor urine output during administration.
4. Monitor the IV site for signs of infiltration or phlebitis.
5. Ensure that the medication is diluted in the appropriate volume of fluid.
6. Ensure that the bag is labeled so that it reads the volume of potassium in the solution.
Potassium chloride administered intravenously must always be diluted in IV fluid and infused
via an infusion pump. Potassium chloride is never given by bolus (IV push). Giving potassium
chloride by IV push can result in cardiac arrest. The nurse should ensure that the potassium
is diluted in the appropriate amount of diluent or fluid. The IV bag containing the potassium
chloride should always be labeled with the volume of potassium it contains. The IV site is
monitored closely, because potassium chloride is irritating to the veins and there is risk of
phlebitis. In addition, the nurse should monitor for infiltration. The nurse monitors urinary
output during administration and contacts the primary health care provider if the urinary
output is less than 30 mL/hr.
Quiz_________________?
The nurse is assessing a client with a lactose intolerance disorder for a suspected diagnosis
of hypocalcemia. Which clinical manifestation would the nurse expect to note in the client?
1. Twitching
2. Hypoactive bowel sounds
3. Negative Trousseau's sign
4. Hypoactive deep tendon reflexes -
Answer✅
1. Twitching
: A client with lactose intolerance is at risk for developing hypocalcemia, because food
products that contain calcium also contain lactose. The normal serum calcium level is 9 to
10.5 mg/dL (2.25 to 2.75 mmol/L). A serum calcium level lower than 9 mg/dL (2.25 mmol/L)
indicates hypocalcemia. Signs of hypocalcemia include paresthesias followed by numbness,
hyperactive deep tendon reflexes, and a 267 positive Trousseau's or Chvostek's sign.
Additional signs of hypocalcemia include increased neuromuscular excitability, muscle
cramps, twitching, tetany, seizures, irritability, and anxiety. Gastrointestinal symptoms
2
, include increased gastric motility, hyperactive bowel sounds, abdominal cramping, and
diarrhea.
Quiz_________________?
. The nurse is caring for a client with Crohn's disease who has a calcium level of 8 mg/dL (2
mmol/L). Which patterns would the nurse watch for on the electrocardiogram? Select all
that apply.
1. U waves
2. Widened T wave
3. Prominent U wave
4. Prolonged QT interval
5. Prolonged ST segment -
Answer✅
4. Prolonged QT interval
5. Prolonged ST segment
A client with Crohn's disease is at risk for hypocalcemia. The normal serum calcium level is
9 to 10.5 mg/dL (2.25 to 2.75 mmol/L). A serum calcium level lower than 9 mg/dL (2.25
mmol/L) indicates hypocalcemia. Electrocardiographic changes that occur in a client with
hypocalcemia include a prolonged QT interval and prolonged ST segment. A shortened ST
segment and a widened T wave occur with hypercalcemia. ST depression and prominent U
waves occur with hypokalemia.
Quiz_________________?
The nurse reviews the electrolyte results of a client with chronic kidney disease and notes
that the potassium level is 5.7 mEq/L (5.7 mmol/L). Which patterns would the nurse watch
for on the cardiac monitor as a result of the laboratory value? Select all that apply.
1. ST depression
2. Prominent U wave
3. Tall peaked T waves
4. Prolonged ST segment
5. Widened QRS complexes -
3
