The nurse is caring for a patient whose serum sodium level is 140 mEq/L and serum potassium level is 5.4 mEq/L. The nurse will contact the patient's provider to discuss an order for

a. a low-potassium diet.
b. intravenous sodium bicarbonate.
c. Kayexalate and sorbitol.
d. salt substitutes.


ANS: A
Mild hyperkalemia may be treated with dietary restriction of potassium-rich foods. The patient's sodium level is normal, so sodium bicarbonate is not indicated. Kayexalate is used for severe hyperkalemia. Salt substitutes contain potassium and would only compound the hyperkalemia.

Nursing

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Indicate whether the statement is true or false

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