Question

A nurse is caring for a client who has chronic kidney failure and serum potassium level...

  1. A nurse is caring for a client who has chronic kidney failure and serum potassium level of 6.8 mEq/L. Which of the following section should the nurse take first
  1. Request a prescription to obtain the client’s arterial blood gases
  2. Initiate continuous cardiac monitoring for the client
  3. Give sodium polystyrene sulfonate to the client
  4. Prepare the client for hemodialysis
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Answer #1

Answer is option b

Initiate continuous cradiac monitoring for the client. It is a life threatening condition csusing cardiac arrhythmia and even death also. So hyperkalemia patient should be watched for any arrhythmia, because it may sometimes cause lethal arrhythmia. After identifying ecg changes in hyperkalemia (ecg shows tall or peaked t waves) can give polysterene sulphate to reduce the peak of t wave. Arterial blood gas analysis is done for identifying acidbase balance, but known case of CKD patient have metabolic acidosis always. It is needed not the first priority. Dialysis for ckd patient with pottassium level of 6.8 is not a first priority.

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