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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A: This statement is accusatory and non-collaborative, which can lead to defensiveness and hinder communication.
B: While offering some flexibility, this statement lacks assertiveness. It does not make clear the importance of taking medication as prescribed.
C: This is an example of assertive communication. The nurse clearly and respectfully communicates the importance of following the treatment plan while outlining the consequences of non-compliance.
D: This response is overly passive and does not address the importance of medication adherence, nor does it encourage the patient to follow the prescribed plan.

A. blood presre at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg B. has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL C. wound drainage at 0800 was sanguineous and now it is serosanguineous D. reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6

Correct Answer is A

Explanation

A: A significant drop in blood pressure could indicate internal bleeding or fluid volume loss—potentially life-threatening.
B: Blood glucose levels of 110 pre-meal and 160 post-meal are normal ranges.
C: Sanguineous to serosanguineous drainage is an expected wound healing progression.
D: Pain increasing from 4 to 6 is important but not as critical as hypotension.

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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)

Nursing Test Bank

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