hard · NCLEX-RN risk-reduction

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.

1. Administer ordered calcium gluconate before or with shifting therapy.
2. Place the client on a continuous cardiac monitor if not already established.
3. Encourage the client to increase oral intake of water to dilute the potassium.
4. Identify the wide QRS as a preterminal sign of hyperkalemic conduction failure.
5. Request a repeat specimen to verify the result before initiating treatment.

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