Electrolyte Management in Critical Care · NCLEX Exam

What is the appropriate monitoring essential in the hours following insulin plus glucose administration for a patient with hyperkalemia in the ICU?

  1. Only potassium levels, checked every 24 hours
  2. Both blood glucose and potassium every 2-4 hours
  3. A single ECG performed once after 12 hours
  4. No monitoring is needed once potassium begins to drop
Show answer and explanation

Correct answer: Both blood glucose and potassium every 2-4 hours

Insulin + glucose shifts potassium intracellularly but risks hypoglycemia and rebound hyperkalemia; frequent monitoring of glucose and potassium is necessary.

Difficulty: Medium Question 7 of 15

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