A nurse is reviewing the medical record of a client and identifies a serum potassium 6.8 mEq/L (3.5-5 mEq/L). Which of the following medications should the nurse expect to administer?
Lactulose
Acetylcysteine
Sodium polystyrene (Kayexalate)
Triamterene
The Correct Answer is C
A. Lactulose: Lactulose is used to treat hepatic encephalopathy by reducing ammonia levels, not for hyperkalemia.
B. Acetylcysteine: Acetylcysteine is used for acetaminophen overdose or as a mucolytic agent, not for hyperkalemia.
C. Sodium polystyrene (Kayexalate): Kayexalate is used to treat hyperkalemia by exchanging sodium for potassium in the intestines, promoting the elimination of potassium through the stool. This is the correct treatment for a potassium level of 6.8 mEq/L, which is dangerously high.
D. Triamterene: Triamterene is a potassium-sparing diuretic and would worsen hyperkalemia, not treat it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cardiac dysrhythmias: Hypokalemia impairs cardiac muscle function, potentially leading to arrhythmias such as ventricular tachycardia or premature ventricular contractions.
B. Hypoglycemia: Potassium does not directly cause hypoglycemia; its imbalance more commonly affects cardiac and neuromuscular function.
C. Hyperreflexia: Hypokalemia usually causes muscle weakness and diminished reflexes (hyporeflexia), not hyperreflexia.
D. Increased appetite: Hypokalemia does not typically affect appetite.
Correct Answer is D
Explanation
A. Increased appetite: Hyponatremia does not typically cause increased appetite.
B. Hyporeflexia: Severe hyponatremia may lead to neurological symptoms, but reflex changes are less common.
C. Constipation: This is unrelated to sodium levels.
D. Headache: Hyponatremia causes cellular swelling, including in the brain, leading to headache, nausea, and neurological symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
