A nurse is reviewing the laboratory report of a client and identifies a serum potassium level of 6.8 mEq/L. Which of the following medications should the nurse plan to administer?
Lactulose
Sevelamer
Sodium polystyrene
Darbepoetin alfa
The Correct Answer is C
A. Lactulose: Lactulose is used to reduce blood ammonia levels in hepatic encephalopathy, not to reduce potassium levels. It is not appropriate for treating hyperkalemia.
B. Sevelamer: Sevelamer is a phosphate binder used in clients with chronic kidney disease to lower serum phosphorus levels, not potassium. It is not appropriate for treating hyperkalemia.
C. Sodium polystyrene: Sodium polystyrene (Kayexalate) is a cation-exchange resin used to treat hyperkalemia. It works by exchanging sodium ions for potassium ions in the intestine, promoting the excretion of potassium. This is the correct medication to administer for a serum potassium level of 6.8 mEq/L.
D. Darbepoetin alfa: Darbepoetin alfa is a synthetic erythropoietin used to treat anemia associated with chronic kidney disease. It is not used to treat hyperkalemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ripe bananas: Ripe bananas are typically recommended to help manage diarrhea because they are low in fiber and can help firm up stool.
B. Caffeinated beverages: Caffeinated beverages can act as stimulants, increasing bowel motility and potentially leading to diarrhea.
C. White rice: White rice is generally binding and can help manage diarrhea, not cause it.
D. Low-fiber cereal: Low-fiber cereals are less likely to cause diarrhea as they do not promote bowel motility.
Correct Answer is C
Explanation
A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.
B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.
C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.
D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.
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