A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?
Insulin and sodium bicarbonate
Calcium gluconate
atiromer (Veltassa)
Lisinopril
The Correct Answer is C
A. It helps to temporarily lower serum potassium levels by driving potassium into the cells. This effect is usually short-lived and is often used in emergency situations to quickly manage hyperkalemia.
B. Calcium Gluconate is used to stabilize the cardiac membrane in the setting of hyperkalemia, especially if there are ECG changes or symptoms of hyperkalemia. It does not lower the serum potassium level but helps protect the heart from the potential arrhythmias caused by elevated potassium levels.
C. Patiromer (Veltassa) is a potassium binder that helps to remove excess potassium from the body through the gastrointestinal tract. It binds potassium in the gut and facilitates its excretion in the stool.
D. Lisinopril is an ACE inhibitor used to treat hypertension and heart failure. It can actually increase potassium levels by decreasing the excretion of potassium through the kidneys.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
To administer a total daily dose of 200 mg of imipramine divided equally every 12 hours, the nurse would need to give two doses of 100 mg each. Since the available tablets are 25 mg each, four tablets would be required to make up a single dose of 100 mg.
Therefore, the nurse should administer four tablets every 12 hours to meet the prescribed daily dosage.
Correct Answer is C
Explanation
Hypertension is a risk factor for kidney disease. However, it can often be managed with medication. Controlled hypertension is not typically a contraindication for a kidney transplant.
B. If the client has maintained sobriety for a significant period, it might not be a contraindication. A history of alcohol abuse would require careful evaluation but doesn't necessarily preclude transplantation.
C. This is a contraindication for kidney transplantation. Severe heart disease can significantly increase the risks associated with surgery and post-transplant care.
D. Hepatitis C can be a challenge but it's not an absolute contraindication. Many transplant centers have protocols for managing hepatitis C-positive recipients.
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