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ECG Interpretation Quiz for Nursing School Students, Nurses, and more Tall, peaked t waves are seen with which electrolyte imbalance: A. hypercalcemia B. hyperkalemia C. hypocalcemia D. hypokalemia Answer is B: Hyperkalemia. This means there’s too much potassium in the blood (normal ~3.5–5 mEq/L). Think “hyper = high,” so you get a high, peaked T wave. Common causes include kidney problems, too much potassium intake, or ACE inhibitors etc. Hypokalemia = flat or inverted T waves w/ U wave. Hyperc
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