Rephonic
Artwork for NCLEX in The Car
Next Generation NCLEX
Fluid and Electrolyte Balance
Renal Failure
Heart Failure
Hyperkalemia
Hypokalemia
NCLEX
Nursing
Electrocardiogram

NCLEX in the Car is your essential on-the-go prep for the NCLEX-RN and NCLEX-PN. Transform your commute, workouts, or errands into powerful study sessions with focused reviews of key nursing concepts, prioritization strategies, pharmacology, lab values, SATA questions, case studies, test-taking tips, and real-world clinical scenarios from experienced nurses and recent passers. Whether you’re a nur... more

PublishesTwice weeklyEpisodes6Founded16 days ago
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Artwork for NCLEX in The Car

Latest Episodes

This episode provides an in-depth examination of high-alert medications with narrow therapeutic indices, focusing on pharmacological and parenteral therapies essential for post-NCLEX nursing practice. It translates complex concepts into layman’s term... more

NCLEX Practice Questions (Fluid/Electrolyte Balance in Renal & Cardiac Failure)

This episode explores the critical interplay of fluid and electrolyte balance in patients with renal and cardiac failure, translating complex pathophysiology into practical nursing insights for those who have recently passed the NCLEX. Listeners will... more

This episode immerses nursing candidates in a high-stakes clinical vignette of acute hemodynamic collapse, building directly on triage priorities to master the rapid identification and management of deteriorating patients experiencing significant flu... more

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RadiolabWNYC Studios

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The Fluid and Electrolyte Balancing Act: Deciphering ECG Changes and Lab Values in Renal and Cardiac Failure
Q: Question number three, in a patient with acute decompensated heart failure and oliguria, which lab trend would best indicate worsening renal involvement, secondary to poor cardiac output? A, decreasing bun and creatinine? B, increasing B and P with stable electrolytes? Or C, rising creatinine and bun with hyperkalemia?
The correct choice is C, rising creatinine and bun with hyperkalemia, reflecting reduced glomerular filtration and potassium retention typical of cardio-renal syndrome.
The Fluid and Electrolyte Balancing Act: Deciphering ECG Changes and Lab Values in Renal and Cardiac Failure
Q: Question number two, a heart failure patient on loop diuretics develops muscle cramps, and then ECG revealing flattened T waves and prominent U waves. The nurse should anticipate which lab finding? A, elevated potassium, B, decreased potassium, or C, elevated calcium?
The correct choice is B, decreased potassium, since diuretics promote potassium loss, leading to hypokalemia and associated ECG changes that increase arrhythmia risk.
The Fluid and Electrolyte Balancing Act: Deciphering ECG Changes and Lab Values in Renal and Cardiac Failure
Q: Question number one, a patient with chronic kidney disease presents with weakness and palpitations. The ECG shows peak T waves in a widened QRS complex. Which electrolyte imbalance is most likely? A, hypokalemia, B, hyperkalemia, or C, hypercalcemia?
The correct choice is B, hyperkalemia, because peaked T waves and QRS widening are classic early to moderate signs of elevated serum potassium common in renal impairment due to reduced excretion.

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1. Straight A Nursing: Study for nursing school exams & NCLEX
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NCLEX in The Car launched 16 days ago and published 6 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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