A client is in the oliguric phase of acute kidney injury (AKI) which was caused by massive tissue trauma. The nurse notes peaked T-waves and a widened QRS complex on the cardiac monitor. What is the first action the nurse should take?
Check the client's most recent potassium level
Administer a bolus of 1,000 mL of normal saline
Administer potassium chloride intravenously (IV)
Administer sodium polystyrene sulfonate (Kayexalate)
The Correct Answer is A
A. Peaked T-waves and a widened QRS complex on an ECG are often signs of hyperkalemia, which is an elevated potassium level in the blood. This can be a serious complication of acute kidney injury (AKI), especially in the oliguric phase when the kidneys are unable to effectively excrete potassium.A
B. While fluid management is important in AKI, administering a bolus of normal saline is not the first priority in the presence of suspected hyperkalemia. The primary concern is to address the electrolyte imbalance.
C. Administering potassium chloride would worsen hyperkalemia and should be avoided.
D. Kayexalate is a medication used to treat hyperkalemia by exchanging sodium ions for potassium ions in the gastrointestinal tract. However, checking the potassium level is the first step in confirming the diagnosis and determining the appropriate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chemotherapy often requires multiple infusions over a long period, and a CVAD provides a reliable and convenient access point for these treatments. It allows for the continuous or intermittent administration of chemotherapy drugs, which are often irritating to veins and require precise dosing.
B. While CVADs are used for administering chemotherapy and other treatments, they are not typically used to implant radioactive material for internal radiation (brachytherapy).
C. While CVADs reduce the need for repeated venipunctures and can help manage the complications of frequent injections, they do not eliminate the risk of infection. CVADs can themselves become a source of infection if not properly maintained, as they are open to the external environment.
D. The placement of a CVAD does not directly affect the side effects of chemotherapy, such as nausea and vomiting. The CVAD’s role is primarily related to the administration of medications and access to blood vessels.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
Peritonitis
Peritonitis is an infection of the peritoneum (the lining of the abdominal cavity), often related to peritoneal dialysis. It can present with abdominal pain, fever, rigidity, and rebound tenderness,
consistent with the client’s symptoms. Cloudy effluent is also a common sign of peritoneal dialysis- related peritonitis.
Peritoneal dialysis
Peritoneal dialysis is a type of dialysis that uses the peritoneum (abdominal lining) to filter blood. If there is an issue with the dialysis process, it could lead to complications such as peritonitis. This is consistent with the client's symptoms, such as abdominal pain, fever, nausea, vomiting, and cloudy effluent.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.