The nurse is planning the care of a patient diagnosed with hyperkalemia. Which of the following should be included in this patient's plan of care?
1. Providing oral Kayexalate as prescribed
2. Dietary consult to select foods low in calcium
3. Dietary consult to select foods high in sodium
4. Maintain fluid restriction
Providing oral Kayexalate as prescribed
Rationale: Treatment for hyperkalemia includes reducing oral or IV intake of potassium while treating the underlying cause of the hyperkalemia by administering potassium-reducing agents such as oral Kayexalate combined with sorbitol to rapidly remove potassium from the gastrointestinal tract via diarrhea. The patient has not been diagnosed with hypercalcemia or hyponatremia. There is no evidence to support the patient needing to restrict fluids.
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The nurse notes that the client has a sudden change in vision. Which of the following conditions should the nurse suspect as a possible cause?
A) Chronic glaucoma. B) Dermatoses C) Diabetes D) Furunculosis
What nursing actions are correct when administering heparin subcutaneously? Select all that apply
a. Insert the needle with the bevel up at a 15-degree angle. b. Insert the needle at a 45- to 90-degree angle. c. Insert the needle into the tissue on the upper back. d. Insert the needle into the abdominal tissue. e. Massage the injection site when the injection is complete.
Which should the nurse monitor a client for that is receiving a salicylate? Select all that apply.
A. Neurotoxicity B. Ototoxicity C. Nephrotoxicity D. Cardiotoxicity E. Pulmonary toxicity