A nurse evaluating the therapeutic effect of the drug sodium polystyrene sulfonate (Kayexalate) for a client diagnosed with chronic renal failure
Which therapeutic effect from the medication does the nurse anticipate?
A) Increased serum sodium
B) Increased stool excretion
C) Decreased urine specific gravity
D) Decreased serum potassium
Answer: D
The client with chronic kidney disease is unable to excrete potassium, and therefore the drug sodium polystyrene sulfonate (Kayexalate) is utilized in order to exchange sodium for potassium in the large intestine, resulting in decreased serum potassium levels. Although the client might have increased stools, the therapeutic effectiveness of the drug is measured by monitoring the serum potassium. This drug does not affect either the sodium level or the specific gravity.
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