NCLEX-PN

Category - Reduction of Risk

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A nurse is assigned to care for a client who has a serum potassium level of 6.2 mEq/L. Which of the following is the priority assessment?

Apical pulse
Blood pressure
Temperature
Respiratory rate

Explanation

Answer: A - A potassium level greater than 5.0 mEq/L increases the client’s risk for cardiac arrhythmias. Assessing the client’s apical pulse should be the nurse’s priority assessment. The other vital signs are also assessed, but monitoring the apical pulse is a priority when caring for the client.

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