CNOR Operating Room Nursing

Category - Intraoperative

What symptoms might a nurse encounter in a patient who develops hyperkalemia during a surgical procedure?
  1. ECG changes and decreased urine output
  2. Restlessness and agitation
  3. Depressed respirations and fever
  4. Rapid breathing and rigid muscles
Explanation
Answer: A-The patient who develops hyperkalemia will have ECG changes and decreased urine output. Potassium is involved with normalizing the rhythm of the heart; too much of this electrolyte can cause cardiac arrhythmias. Additionally, potassium has an effect on the balance of fluid between the cells and the extracellular fluid; an increase in potassium can potentially decrease or stop urine output.
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