A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

Ensure that the client's urine output is at least 1 mL/kg/hour.

Educate the client regarding high-potassium food sources.

Cardiac monitoring during infusion.

Repeat blood serum potassium.

Ensure potassium infusion is prepared with 5% dextrose solution.

Answer and Explanation

Correct Answer : A,C,D

Choice A reason: Ensuring the client's urine output is at least 1 mL/kg/hour is important before administering potassium to prevent hyperkalemia, especially in clients with renal impairment.

Choice B reason: While educating the client about high-potassium food sources is important, it is not directly related to the administration of intravenous potassium.

Choice C reason: Cardiac monitoring during infusion is crucial due to the risk of arrhythmias associated with rapid

changes in potassium levels.

Choice D reason: Repeating blood serum potassium is necessary to monitor the effectiveness of the supplementation and avoid hyperkalemia.

Choice E reason: Potassium should not be prepared with 5% dextrose solution as it may cause a trans-cellular shift of potassium into cells, which is not recommended.

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Correct Answer is B

Explanation

Choice A reason: Aluminum hydroxide does not primarily lower serum calcium levels. Calcium levels are typically managed in CKD patients through other medications and dietary restrictions, as hypercalcemia can occur in these patients.

Choice B reason: Aluminum hydroxide acts as a phosphate binder, which helps to lower serum phosphorus levels in patients with CKD. This is important because high phosphorus levels can lead to bone and heart problems in these patients. The normal range for serum phosphorus is approximately 2.5 to 4.5 mg/dL.

Choice C reason: Aluminum hydroxide does not have a significant effect on serum potassium levels. In CKD, potassium levels are managed through diet and other medications due to the risk of hyperkalemia, which can be life- threatening.

Choice D reason: While magaldrate contains magnesium, which could potentially worsen hypermagnesemia in CKD patients, aluminum hydroxide does not lower serum magnesium levels. Instead, it is less likely to cause elevated magnesium levels compared to magaldrate.

A. "I get such back pain with these urine infections. It hurts so bad." B. "When I have one of these infections, I can't go to my grandkids' school activities like I normally do." C. "I have to be close to a bathroom no mater where I am when I have this infection." D. "Sometimes I get so nauseated and start throwing up and can't even keep water down."

Correct Answer is B

Explanation

Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.

Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.

Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.

Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.

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A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

Correct Answer is B

Explanation

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