hard · NCLEX-RN Reduction of Risk Potential
In the renal step-down unit, Jordan, age 58, has a potassium level of 6.7 mEq/L and a current ECG showing a widened QRS complex of 128 ms. Which findings or actions represent the correct immediate response and escalation? Select all that apply.
- Administer ordered calcium gluconate before or with shifting therapy.
- Place the client on a continuous cardiac monitor if not already established.
- Encourage the client to increase oral intake of water to dilute the potassium.
- Identify the wide QRS as a preterminal sign of hyperkalemic conduction failure.
- Request a repeat specimen to verify the result before initiating treatment.
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