Which of the following assessments should be prioritized in the care of a client who is being treated for a serum potassium level of 2.7 mEq/L?

A) Detailed fluid balance monitoring checking for pitting edema
B) Arterial blood gases looking for respiratory alkalosis
C) Cardiac monitoring looking for prolonged PR interval and flattening of the T wave
D) Monitoring of hemoglobin levels and oxygen saturation


Ans: C
Feedback:
The most serious effects of hypokalemia are on the heart, a fact that necessitates frequent electrocardiography or cardiac telemetry. Hypokalemia produces a decrease in the resting membrane potential, causing prolongation of the PR interval. It also prolongs the rate of ventricular repolarization, causing depression of the ST segment, flattening of the T wave, and appearance of a prominent U wave. This supersedes the importance of fluid balance monitoring, arterial blood gases, oxygen saturation, or hemoglobin levels.

Health & Biomechanics

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