A nurse is reinforcing discharge teaching with a client about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?
"Adding pecans will be a change I can readily make."
"I will eat cantaloupe for my morning snack."
"I will miss eating yogurt every day for breakfast."
"I can plan to eat rice instead of baked potatoes."
The Correct Answer is B
A. "Adding pecans will be a change I can readily make.": Pecans are not a significant source of potassium compared to other foods.
B. "I will eat cantaloupe for my morning snack.": Cantaloupe is a potassium-rich food and an excellent choice to increase dietary potassium.
C. "I will miss eating yogurt every day for breakfast.": Yogurt is a good potassium source, so discontinuing it would not help.
D. "I can plan to eat rice instead of baked potatoes.": Rice is low in potassium, whereas baked potatoes are a potassium-rich option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sodium polystyrene sulfonate (Kayexalate): This medication is used to treat hyperkalemia (high potassium levels) by exchanging sodium ions for potassium ions in the intestines, which helps lower potassium levels. The client’s potassium level is dangerously high at 6.2 mEq/L, so this is the most appropriate treatment.
B. Lactulose: Lactulose is used to treat hyperammonemia in liver failure or constipation. It has no role in managing elevated potassium levels.
C. Acetylcysteine: Acetylcysteine is used to treat acetaminophen overdose or as a mucolytic. It is not indicated for hyperkalemia.
D. Potassium iodide: Potassium iodide is used to protect the thyroid from radiation exposure or to treat certain types of thyroid conditions, not for hyperkalemia.
Correct Answer is B
Explanation
A. Dextrose 10% in water: Dextrose solutions provide calories but do not restore volume or replace electrolytes. They are not typically used in hypovolemic shock.
B. Lactated Ringer's: Lactated Ringer’s solution is an isotonic solution containing sodium, potassium, calcium, and lactate, which helps restore both fluid volume and electrolytes in the case of hypovolemic shock. It is commonly used while awaiting blood transfusions.
C. 0.33% sodium chloride: This is a hypotonic solution that can cause fluid to shift into cells and is not appropriate for fluid resuscitation in hypovolemia, which requires an isotonic solution.
D. 0.45% sodium chloride: This is a hypotonic solution as well, and it could worsen hypotension by causing fluid shifts into the cells, which is not ideal for treating hypovolemic shock.
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