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BSN 246 HESI Review Practice Questions and Answers | 100% Pass

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  • BSN 266
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  • BSN 266

BSN 246 HESI Review Practice Questions and Answers | 100% Pass Hypokalemia appearance on EKG - Answer-- U waves - inverted T waves - depressed ST segment Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Which actions should the nurse tak...

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  • September 26, 2024
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  • BSN 266
  • BSN 266
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BSN 246 HESI Review Practice
Questions and Answers | 100% Pass

Hypokalemia appearance on EKG - Answer✔✔-- U waves


- inverted T waves

- depressed ST segment

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. 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.



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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR
©2024EMILLYCHARLOTTE. ALL RIGHTS RESERVED.
FIRST PUBLISH SEPTEMBER 2024
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.

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

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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR
©2024EMILLYCHARLOTTE. ALL RIGHTS RESERVED.
FIRST PUBLISH SEPTEMBER 2024
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 include increased gastric motility, hyperactive bowel sounds,

abdominal cramping, and diarrhea.

. 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



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