A nurse is caring for a client receiving sodium polystyrene sulfonate (Kayexalate) for the treatment of chronic renal disease. The nurse should monitor for which therapeutic effect of sodium polystyrene sulfonate (Kayexalate)?
Decreased serum sodium
Decreased serum phosphorus
Decreased urine specific gravity
Decreased serum potassium
The Correct Answer is D
A. Decreased serum sodium: Kayexalate exchanges sodium for potassium, so sodium may actually increase.
B. Decreased serum phosphorus: Kayexalate does not directly affect phosphate levels.
C. Decreased urine specific gravity: Kayexalate does not influence urine output or concentration.
D. Decreased serum potassium: Kayexalate treats hyperkalemia by exchanging potassium ions for sodium in the intestines, lowering serum potassium.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administering sodium polystyrene sulfonate:
This medication removes potassium through the GI tract and is used to treat hyperkalemia.
B. Initiating an IV potassium infusion:
The client already has hyperkalemia; giving potassium would worsen it.
C. Administering a potassium-sparing diuretic:
These medications retain potassium and would further elevate potassium levels.
D. Encouraging the client to eat bananas:
Bananas are high in potassium and should be avoided in hyperkalemia.
Correct Answer is B
Explanation
A. Oxygen saturation 93%:
While this is slightly below normal, it is not a definitive or specific indicator of fluid overload.
B. Distended neck veins:
Jugular vein distention is a classic sign of fluid overload and increased central venous pressure.
C. The client has gained 1 pound since yesterday:
A 1-pound weight gain could be due to fluid retention, but it's not significant enough on its own to confirm fluid overload.
D. Return of skin to previous position when the client's shin is palpated:
This indicates normal skin turgor and does not suggest fluid overload; instead, it rules out dehydration.
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