A client has end-stage kidney disease (ESKD). The nurse observes tall, peaked T waves on the client's cardiac monitor. Which action by the nurse is best?
a. Check the serum potassium level.
b. Document the finding in the client's chart.
c. Prepare to give sodium bicarbonate.
d. Call the health care provider to request an electrocardiogram (ECG).
A
Tall, peaked T waves are a manifestation of hyperkalemia. Thus, the nurse should check the po-tassium level. Afterward, the nurse should report findings to the provider. The client may need an ECG, but treatment may be based on monitor tracings and potassium levels. Sodium bicarbo-nate is not warranted. Documentation is important but is not the priority.
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