A nurse is planning care for a client who has serum potassium of 6.0 mEq/L (Range: 3.5-5.0). Which actions should the nurse anticipate? Select all that apply

Initiate 0.33% sodium chloride IV bolus

Administration of an Ace inhibitor

Administration sodium polystyrene sulfate (kayexalate)

Place the client on a cardiac monitor

Administration of Calcium Gluconate

Answer and Explanation

Correct Answer : C,D,E

A. Initiate 0.33% sodium chloride IV bolus: This is inappropriate as it does not address hyperkalemia and may worsen fluid balance issues.

B. Administration of an ACE inhibitor: ACE inhibitors can increase potassium levels and are contraindicated in hyperkalemia.

C. Administration of sodium polystyrene sulfate (Kayexalate): This medication promotes potassium excretion through the gastrointestinal tract.

D. Place the client on a cardiac monitor: Hyperkalemia affects cardiac function, and continuous monitoring is necessary to detect arrhythmias.

E. Administration of calcium gluconate: Calcium gluconate helps stabilize the cardiac membrane, reducing the risk of arrhythmias from hyperkalemia.

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Correct Answer is B

Explanation

A. Taking cyclosporine long-term is standard for preventing organ rejection in kidney transplant recipients.

B. Engaging in high-contact sports like football is not advisable immediately post-transplant due to the risk of injury and compromised immunity.

C. Frequent lab monitoring is necessary to assess for complications such as infection, organ rejection, and medication side effects.

D. Monitoring fluid status through daily weights is essential to detect fluid retention or dehydration.

A. May develop Lightheadedness B. Can cause Bradycardia C. Burning with urination D. Temporary loss of libido.

Correct Answer is A

Explanation

A. Lightheadedness is a common side effect of Flomax (tamsulosin) due to its alpha-blocking effect, which can cause vasodilation and a drop in blood pressure.

B. Bradycardia is not a typical side effect of Flomax. It mainly affects alpha receptors in the prostate and bladder, not the heart rate.

C. Burning with urination is more likely to be related to a urinary tract infection (UTI) rather than Flomax.

D. Temporary loss of libido is not a common side effect of Flomax, though it may be associated with other medications like finasteride used in BPH treatment.

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A nurse is planning care for a client who has serum potassium of 6.0 mEq/L (Range: 3.5-5.0). Which actions should the nurse anticipate? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

Explanation

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