The nurse is caring for a client diagnosed with hyperkalemia. Which interventions are appropriate to include in the client's plan of care?

Question

Standard Text: Select all that apply.
1. A calcium supplement
2. A potassium supplement
3. Hypotonic fluids
4. Buffering agents
5. Citrus fruits in the diet

Answer 1

Correct Answer: 3,4
Rationale 1: A calcium supplement would be appropriate in hypocalcemia, not hyperkalemia.
Rationale 2: Potassium supplements would be appropriate for hypokalemia, not hyperkalemia.
Rationale 3: Hypotonic fluids are often used in the treatment of hyperkalemia.
Rationale 4: Buffering agents are often used in the treatment of hyperkalemia.
Rationale 5: Citrus fruits are high in potassium and should not be included in the plan of care for a client with hyperkalemia.
Global Rationale: Hypotonic fluids and buffering agents are often used in the treatment of hyperkalemia. A calcium supplement would be appropriate in hypocalcemia, not hyperkalemia. Potassium supplements would be appropriate for hypokalemia, not hyperkalemia. Citrus fruits are high in potassium and should not be included in the plan of care for a client with hyperkalemia.