A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate.
Which of the following findings should the nurse identify as an indication that the medication has been effective?

Potassium 4.6 mEq/L.

Calcium 8 mg/dL.

Magnesium.1 mEq/L.

Sodium 150 mEq/L.

Answer and Explanation

The Correct Answer is A

Sodium polystyrene sulfonate is a medication used to treat high levels of potassium in the blood.

A potassium level of 4.6 mEq/L is within the normal range, indicating that the medication has been effective in reducing high levels of potassium in the blood.

Choice B is wrong because Calcium 8 mg/dL, is not the correct answer because it measures the level of calcium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

Choice C is wrong because Magnesium.1 mEq/L, is not the correct answer because it measures the level of magnesium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

Choice D is wrong because Sodium 150 mEq/L, is not the correct answer because it measures the level of sodium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

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Correct Answer is C

Explanation

A. Assist the client to a left lateral position.
- This is generally used for clients at risk of aspiration, and it's not indicated based on the lithium level.
B. Implement fluid restrictions.
- Fluid restrictions are usually implemented when there is a risk of fluid overload or hyponatremia, and not in this case. In fact, dehydration can raise lithium levels to toxic levels, so proper hydration is important.
C. Request a dosage increase from the provider.
- While 0.6 mEq/L is within the therapeutic range, some providers may want to see a level slightly higher for maintenance. So requesting a dosage increase from the provider is the correct action.
D. Prepare the client for hemodialysis.
- Hemodialysis is used to remove lithium from the blood in cases of severe lithium toxicity, which is indicated by levels significantly higher than 1.5 mEq/L. This is not needed when the lithium level is 0.6 mEq/L.

A. Hypotension. B. Extravasation. C. Headache. D. Chest pain.

Correct Answer is A

Explanation

Dopamine is a medication used to treat hypotension, low cardiac output, and poor perfusion of vital organs.

It is used to increase mean arterial pressure in septic shock patients who remain hypotensive after adequate volume expansion 1.

If the client is still experiencing hypotension while receiving dopamine by continuous IV infusion, the nurse should increase the rate of infusion to improve the client’s blood pressure.

Choice B is wrong because Extravasation, is not the correct answer because it refers to the leakage of IV fluid or medication into the surrounding tissue and is not an indication to increase the rate of dopamine infusion.

Choice C is wrong because Headache, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.

Choice D is wrong because Chest pain, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.

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A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following findings should the nurse identify as an indication that the medication has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The client's lithium level is.6 mEq/L. Which of the following actions should the nurse take?

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Explanation

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A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate.
Which of the following findings should the nurse identify as an indication that the medication has been effective?