A nurse is phoning a provider to report a client’s serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?

Potassium iodide.

Lactulose.

Sodium polystyrene sulfonate.

Acetylcysteine.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Potassium iodide is used to treat hyperthyroidism and protect the thyroid gland from radiation, but it does not help lower serum potassium levels.
Choice B rationale
Lactulose is a laxative used to treat constipation and hepatic encephalopathy, but it does not affect serum potassium levels.
Choice C rationale
Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, thereby lowering serum potassium levels.
Choice D rationale
Acetylcysteine is used as a mucolytic agent and to treat acetaminophen overdose, but it does not have any effect on serum potassium levels.

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Correct Answer is B

Explanation

Choice A rationale
Urine specific gravity of 1.020 is within the normal range (1.005 to 1.030). This indicates that the urine concentration is normal and does not suggest any abnormality that needs to be reported.
Choice B rationale
Microscopic hematuria refers to the presence of red blood cells in the urine, which is not visible to the naked eye. This finding can indicate a urinary tract infection, kidney stones, or other renal pathology and should be reported to the provider for further evaluation.
Choice C rationale
Amber yellow urine color is considered normal and does not indicate any pathology. The color of urine can vary depending on hydration status and does not necessarily indicate a problem.
Choice D rationale

The absence of glucose in the urine is a normal finding. The presence of glucose in the urine would indicate glycosuria, which is often associated with diabetes mellitus.

A. Monitor intake and output. B. Administer pain medication. C. Ambulate in hall. D. Strain the urine.

Correct Answer is B

Explanation

Choice A rationale
Monitoring intake and output is important but not the first priority. The immediate concern is to address the client’s pain.
Choice B rationale

Administering pain medication is the first priority. Managing the client’s pain will help alleviate discomfort and allow for further assessment and treatment.
Choice C rationale
Ambulating in the hall is not appropriate for a client experiencing flank pain and nausea. It could exacerbate the symptoms.
Choice D rationale
Straining the urine is important for identifying any stones, but it is not the first priority. Pain management should be addressed first.

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A nurse is phoning a provider to report a client’s serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?

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