A nurse is phoning a provider to report a client’s serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?

Potassium iodide.

Lactulose.

Sodium polystyrene sulfonate.

Acetylcysteine.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Potassium iodide is used to treat hyperthyroidism and protect the thyroid gland from radiation, but it does not help lower serum potassium levels.
Choice B rationale
Lactulose is a laxative used to treat constipation and hepatic encephalopathy, but it does not affect serum potassium levels.
Choice C rationale
Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, thereby lowering serum potassium levels.
Choice D rationale
Acetylcysteine is used as a mucolytic agent and to treat acetaminophen overdose, but it does not have any effect on serum potassium levels.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale
Orange juice is high in potassium and should be avoided by clients with chronic kidney disease.
Choice B rationale
White rice is low in potassium and is generally safe for clients with chronic kidney disease.
Choice C rationale
Corn flakes cereal is low in potassium and is generally safe for clients with chronic kidney disease.
Choice D rationale

Watermelon is high in potassium and should be avoided by clients with chronic kidney disease.
Choice E rationale
Bananas are high in potassium and should be avoided by clients with chronic kidney disease.

A. Obtain the client’s weight. B. Verify the glomerular filtration rate. C. Check the graft site for a palpable thrill. D. Document vital signs. E. Administer a sedative to the client.

Correct Answer is ["A","C","D"]

Explanation

The correct answers are Choices A, C, and D.

Choice A rationale: Obtaining the client's weight is important before and after hemodialysis to assess fluid removal and monitor the patient's fluid balance.

Choice B rationale: Verifying the glomerular filtration rate (GFR) is not necessary immediately before hemodialysis. GFR is typically assessed periodically to monitor kidney function but is not required for each dialysis session.

Choice C rationale: Checking the graft site for a palpable thrill is essential to ensure the arteriovenous (AV) fistula or graft is functioning properly. The thrill indicates that blood is flowing through the access site.

Choice D rationale: Documenting vital signs is crucial before, during, and after hemodialysis to monitor the client's hemodynamic status and detect any complications.

Choice E rationale: Administering a sedative is not a routine part of hemodialysis care. Sedatives may be prescribed for specific situations, but it is not standard practice.

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A nurse is phoning a provider to report a client’s serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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