A client is being discharged and needs to self-monitor for the development of hyperkalemia. Which intervention is most important for the nurse to teach the client?
a. Weighing self daily at the same time of day
b. Assessing radial pulse for a full minute twice a day
c. Ensuring an oral intake of a least 3 L of fluids per day
d. Restricting sodium as well as potassium intake
B
As potassium levels rise, dysrhythmias can develop. By being vigilant for changes in pulse rate, rhythm, and quality, the client can seek medical attention before hyperkalemia becomes severe. Taking a daily weight will help determine fluid retention, but this is not an accurate indicator of potassium increase or decrease. Fluid intake should be based on body weight. Sodium restriction may not be necessary.
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