问题
单项选择题
A client is taking spironolactone (Aldactone) to control her hypertension. Her serum potassium level is 6 mEq/L. For this client, the nurse’s priority would be to assess her
A. neuromuscular function.
B. bowel sounds.
C. respiratory rate.
D. electrocardiogram (ECG) results.
答案
参考答案：D
解析：Although changes in all these findings are seen in hyperkalemia, ECG changes can indicate potentially lethal arrhythmias such as ventricular fibrillation. It wouldn’t be appropriate to assess the client’s neuromuscular function, bowel sounds, or respiratory rate for effects of hyperkalemia.