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NCLEX Exam NCLEX-RN Topic 2 Question 6 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 6
Topic #: 2
[All NCLEX-RN Questions]

A client has renal failure. Today's lab values indicate he has an elevated serum potassium. What additional priority information does the nurse need to obtain?

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Suggested Answer: B

(A) The level of consciousness is not affected by elevated potassium levels. (B) An electrocardiogram (EKG) can tell the nurse whether this client is experiencing any cardiac dysfunction or arrhythmias related to the elevated potassium level. (C) Measurement of the urine output is not a priority nursing action at this time. (D) The client's serum potassium values for the past several days may provide information about his renal function, but they are not a priority at this time.


by Dominque at Jun 11, 2025, 01:42 PM

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Queenie
23 days ago
I'm going with B. Can't ignore those electrocardiographic changes - they might be the difference between life and, well, not life.
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Laila
25 days ago
Hey, is there a 'Call the potassium police' option? Gotta love these renal failure questions, they're the 'banana peels' of the nursing exam.
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Xuan
26 days ago
I'm tempted to say A, just to see if the patient is already experiencing neurological symptoms. But B is probably the safest bet.
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Essie
23 hours ago
I agree, we need to make sure there are no cardiac complications.
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Chi
7 days ago
I think B is the safest bet. We need to evaluate an electrocardiogram.
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Karon
27 days ago
D seems like the obvious choice. We need to see the trend in potassium levels to determine if it's a new or ongoing issue.
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Lashaun
28 days ago
I'd go with C. Knowing the recent urine output will give us a clue about how the kidneys are handling the potassium.
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Octavio
1 months ago
Definitely B. An ECG is crucial to assess the cardiac effects of the elevated potassium. Can't risk missing that.
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Kristeen
22 hours ago
B) Evaluation of an electrocardiogram
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Yesenia
9 days ago
A) Evaluation of his level of consciousness
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Melinda
2 months ago
Measuring his urine output for the past 8 hours is important too.
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Carlene
2 months ago
I think we should also evaluate an electrocardiogram.
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Sabine
2 months ago
We need to check his level of consciousness.
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