A nurse is reviewing the laboratory report of a client admitted with chronic kidney disease and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer? (Norm Value Serum potassium 3.5-5 mEq/L)
Lactulose
Sevelamer
Sodium polystyrene
Darbepoetin alfa
The Correct Answer is C
A. Lactulose is used to treat constipation and hepatic encephalopathy, not hyperkalemia.
B. Sevelamer is a phosphate binder used in chronic kidney disease, not to manage hyperkalemia.
C. Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium for potassium in the intestines, helping to lower serum potassium levels.
D. Darbepoetin alfa is used to treat anemia in chronic kidney disease, not to treat hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Delegating tasks to appropriate team members is an essential skill for time management and ensures that patient care is completed efficiently.
B: Prioritizing tasks based on urgency is crucial for effective time management and ensures that patient care is provided in a timely manner.
C: Documenting patient care is important for legal, medical, and communication purposes. It ensures that care is well-documented and can be referenced if needed.
D: Checking a personal phone frequently during shifts is a time waster as it distracts from patient care and reduces focus on responsibilities.
Correct Answer is C
Explanation
A. Decreased blood pressure and a rapid pulse are signs of hemodynamic instability, but they do not specifically indicate the need for phenytoin.
B. Pain and tingling at the access site are not related to seizures.
C. Headache and restlessness can be early signs of seizures or seizure activity, and phenytoin is indicated for seizure prevention and treatment.
D. Muscle cramps and chest heaviness are common symptoms of dialysis but are not indications for phenytoin.
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