A patient with vomiting has a potassium level reported as critically low and now reports palpitations. The cardiac monitor shows an irregular rhythm. What should the nurse do first?
Correct answer: B. Assess the patient promptly and activate urgent clinical review
- A. Ask the patient to rest and repeat the test tomorrow
- B. Assess the patient promptly and activate urgent clinical review
- C. Offer a potassium-rich meal when tolerated
- D. Remove the cardiac monitor to reduce anxiety
Explanation
Severe potassium loss can cause life-threatening dysrhythmias, especially when palpitations and an irregular rhythm are present. Prompt assessment and urgent clinical review take priority over dietary advice or delayed testing.
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About Clinical Judgement and Prioritisation
Clinical judgement links assessment findings, nursing knowledge and patient responses to a safe decision. Coverage includes ABCDE assessment, recognising actual or potential instability, prioritising airway, breathing and circulation, using urgency and risk rather than routine order, reassessing after intervention, and distinguishing a nursing priority from a medical diagnosis or a task that can wait.
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