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

Answer and Explanation

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.

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Correct Answer is ["B","C","E"]

Explanation

A. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the joints, particularly weight-bearing ones, but it does not have a direct impact on hearing. Therefore, it is not a risk factor for hearing impairment.

B. Occupation: Construction workers are often exposed to loud noise, which increases the risk of hearing impairment.

C. Furosemide: Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing impairment.

D. Hyperlipidemia: Hyperlipidemia, characterized by high levels of lipids in the blood, primarily affects cardiovascular health and does not directly contribute to hearing impairment. It is not considered a risk factor for hearing loss.

E. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with ototoxicity and can increase the risk of hearing impairment.

G. Lovastatin: Lovastatin is a statin used to lower cholesterol levels. While statins have side effects, they are not typically associated with ototoxicity or hearing impairment. Therefore, Lovastatin is not a risk factor for hearing loss.

A. for which of the following acid-base imbalances? B. Metabolic Acidosis C. Respiratory alkalosis D. Metabolic alkalosis E. Respiratory acidosis

Correct Answer is D

Explanation

A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.

B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.

C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.

D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client who has COPD. The nurse should identify the client is at

Correct Answer is D

Explanation

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