A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?

Choice A reason:

Calling the lab to verify the client’s results is a reasonable step if there is any doubt about the accuracy of the lab results. However, in this scenario, the potassium level of 5.2 mEq/L is already documented, and the nurse should act on this information. Verifying the results would delay necessary actions and could potentially harm the patient if the high potassium level is not addressed promptly.

Choice B reason:

Omitting the KCL dose and documenting it as not given is a prudent action because administering potassium chloride to a patient with an elevated potassium level (5.2 mEq/L) could exacerbate hyperkalemia, which can lead to serious cardiac issues. However, this action alone is not sufficient. The nurse must also inform the prescribing physician to reassess the patient’s treatment plan.

Choice C reason:

Giving the ordered KCL as prescribed would be inappropriate in this situation. The patient’s potassium level is already elevated, and administering additional potassium could lead to hyperkalemia, which can cause dangerous cardiac arrhythmias or even cardiac arrest. Therefore, this option should be avoided.

Choice D reason:

Calling the prescribing physician and informing her of the client’s serum potassium level results is the most appropriate action. The physician needs to be aware of the elevated potassium level to make an informed decision about the patient’s treatment plan. The physician may decide to withhold the potassium chloride, order additional tests, or take other actions to manage the patient’s potassium levels safely.

Choice A reason:

Nursing assistants are at risk for various musculoskeletal injuries due to the physical nature of their work, which often involves lifting and moving patients. However, their risk for repetitive motion injuries is generally lower compared to occupations that involve repetitive tasks over extended periods.

Choice B reason:

Assembly line workers are highly susceptible to repetitive motion injuries. Their work typically involves performing the same motions repeatedly, which can lead to conditions such as carpal tunnel syndrome, tendonitis, and other musculoskeletal disorders. The repetitive nature of their tasks places significant strain on specific muscle groups and joints.

Choice C reason:

Truck drivers are more prone to injuries related to prolonged sitting and vibration exposure, such as lower back pain and sciatica. While they may perform some repetitive tasks, such as shifting gears, these do not typically constitute the primary risk for repetitive motion injuries.

Choice D reason:

Elementary school teachers are less likely to suffer from repetitive motion injuries compared to assembly line workers. Their job involves a variety of activities, including standing, walking, and interacting with students, which reduces the likelihood of repetitive strain on specific muscle groups.