A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L (3.5-5 mEq/L). Which of the following medications should the nurse expect the provider to prescribe?

Sodium polystyrene sulfonate (Kayexolate)

Lactulose

Acetylcysteine

Potassium iodide

Answer and Explanation

The Correct Answer is A

A. Sodium polystyrene sulfonate (Kayexalate): This medication is used to treat hyperkalemia (high potassium levels) by exchanging sodium ions for potassium ions in the intestines, which helps lower potassium levels. The client’s potassium level is dangerously high at 6.2 mEq/L, so this is the most appropriate treatment.

B. Lactulose: Lactulose is used to treat hyperammonemia in liver failure or constipation. It has no role in managing elevated potassium levels.

C. Acetylcysteine: Acetylcysteine is used to treat acetaminophen overdose or as a mucolytic. It is not indicated for hyperkalemia.

D. Potassium iodide: Potassium iodide is used to protect the thyroid from radiation exposure or to treat certain types of thyroid conditions, not for hyperkalemia.

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Correct Answer is ["300"]

Explanation

Calculation:

Calculate the duration: From 0330 to 0600 is 2.5 hours.

Multiply the rate by the time:

120mL/hr×2.5hours=300mL.

A. Have the laboratory draw a blood sample for an erythrocyte sedimentation rate. B. Restrict fluid intake. C. Obtain a 12-lead ECG. D. Administer potassium gluconate 40 mEq orally.

Correct Answer is C

Explanation

A. Have the laboratory draw a blood sample for an erythrocyte sedimentation rate (ESR): ESR measures inflammation and is unrelated to hyperkalemia.

B. Restrict fluid intake: Fluid restriction is not appropriate for hyperkalemia unless specifically related to fluid overload or renal failure.

C. Obtain a 12-lead ECG: Hyperkalemia can cause life-threatening cardiac dysrhythmias such as peaked T waves, widened QRS complexes, or asystole. ECG monitoring is essential.

D. Administer potassium gluconate 40 mEq orally: This would worsen hyperkalemia and is contraindicated.

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A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L (3.5-5 mEq/L). Which of the following medications should the nurse expect the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["300"]

Explanation

A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 mEq/L (3.5 -5 mEq/L). The nurse notifies the provider and anticipates that the provider will provide which of the following instructions?

Correct Answer is C

Explanation

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