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Quiz Time! 🧠 Here’s a challenging NCLEX question for you: Question: A 72-year-old patient with a history of chronic kidney disease (CKD) presents to the emergency department with complaints of severe weakness, confusion, and nausea. The laboratory results are as follows: Potassium: 6.8 mEq/L Blood Urea Nitrogen (BUN): 72 mg/dL Creatinine: 5.4 mg/dL ECG: Peaked T waves Which intervention should the nurse implement first? A) Administer sodium polystyrene sulfonate (Kayexalate). B) Prepare the patient for hemodialysis. C) Administer IV calcium gluconate. D) Administer an insulin and dextrose IV infusion. Answer: C) Administer IV calcium gluconate. Explanation: The patient is experiencing hyperkalemia with cardiac changes (peaked T waves), a critical condition requiring immediate action. IV calcium gluconate is the first intervention to stabilize the cardiac membrane and prevent life- threatening arrhythmias. Insulin with dextrose is given after to shift potassium into cells temporarily. Sodium polystyrene sulfonate works slowly to eliminate potassium via the GI tract. Hemodialysis is effective for long-term management but is not the priority in this acute situation. Tag your friends and challenge them! Let’s see how many get this right! 💡 #quiztime #nclexprep #nursingquiz #hyperkalemia #nclexreview #nursingeducation #criticalthinking #medsurgnursing #nursingcare #patientcare #ekginterpretation #ckd #nursingtips #emergencycare #pharmacology #nursingskills #nursingstudents #clinicalnursing #acls #cardiacnursing #nursinglife
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Quiz Time! 🧠 Here’s a challenging NCLEX question for you: Question: A 72-year-old patient with a history of chronic kidney disease (CKD) presents to the emergency department with complaints of severe weakness, confusion, and nausea. The laboratory results are as follows: Potassium: 6.8 mEq/L Blood Urea Nitrogen (BUN): 72 mg/dL Creatinine: 5.4 mg/dL ECG: Peaked T waves Which intervention should the nurse implement first? A) Administer sodium polystyrene sulfonate (Kayexalate). B) Prepare the patient for hemodialysis. C) Administer IV calcium gluconate. D) Administer an insulin and dextrose IV infusion. Answer: C) Administer IV calcium gluconate. Explanation: The patient is experiencing hyperkalemia with cardiac changes (peaked T waves), a critical condition requiring immediate action. IV calcium gluconate is the first intervention to stabilize the cardiac membrane and prevent life- threatening arrhythmias. Insulin with dextrose is given after to shift potassium into cells temporarily. Sodium polystyrene sulfonate works slowly to eliminate potassium via the GI tract. Hemodialysis is effective for long-term management but is not the priority in this acute situation. Tag your friends and challenge them! Let’s see how many get this right! 💡 #quiztime #nclexprep #nursingquiz #hyperkalemia #nclexreview #nursingeducation #criticalthinking #medsurgnursing #nursingcare #patientcare #ekginterpretation #ckd #nursingtips #emergencycare #pharmacology #nursingskills #nursingstudents #clinicalnursing #acls #cardiacnursing #nursinglife

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