Fairly easy

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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